Triazole Compounds and Methods of Making and Using the Same

ABSTRACT

The present invention provides triazole macrocyclic compounds useful as therapeutic agents. More particularly, these compounds are useful as anti-infective, anti-proliferative, anti-inflammatory, and prokinetic agents.

RELATED APPLICATIONS

This application claims priority to and is a continuation of U.S. Ser. No. 13/972,732, filed Aug. 21, 2013, now allowed, which is a continuation of U.S. Ser. No. 13/616,962, filed Sep. 14, 2012, now abandoned, which is a continuation of U.S. Ser. No. 11/990,883, filed Sep. 17, 2009, now U.S. Pat. No. 8,278,281, which is a national stage application, filed under 35 U.S.C. §371 of International Application No. PCT/US2006/033645, filed Aug. 24, 2006, which claims the benefit of and priority to U.S. Provisional Application No. 60/711,443, filed Aug. 24, 2005, and U.S. Provisional Application No. 60/762,907, filed Jan. 26, 2006, the contents of each of which are incorporated herein by reference in their entireties.

FIELD OF THE INVENTION

The present invention relates generally to the field of anti-infective, anti-proliferative, anti-inflammatory, and prokinetic agents. More particularly, the invention relates to a family of triazole macrocyclic compounds that are useful as such agents.

BACKGROUND

Since the discovery of penicillin in the 1920s and streptomycin in the 1940s, many new compounds have been discovered or specifically designed for use as antibiotic agents. It was once believed that infectious diseases could be completely controlled or eradicated with the use of such therapeutic agents. However, such beliefs have been shaken because strains of cells or microorganisms resistant to currently effective therapeutic agents continue to evolve. In fact, virtually every antibiotic agent developed for clinical use has ultimately encountered problems with the emergence of resistant bacteria. For example, resistant strains of Gram-positive bacteria such as methicillin-resistant staphylococci, penicillin-resistant streptococci, and vancomycin-resistant enterococci have developed. These resistant bacteria can cause serious and even fatal results for patients infected with such resistant bacteria. Bacteria that are resistant to macrolide antibiotics have emerged. Also, resistant strains of Gram-negative bacteria such as H. influenzae and M. catarrhalis have been identified. See, e.g., F. D. Lowry, “Antimicrobial Resistance: The Example of Staphylococcus aureus,” J. Clin. Invest., vol. 111, no. 9, pp. 1265-1273 (2003); and Gold, H. S. and Moellering, R. C., Jr., “Antimicrobial-Drug Resistance,” N. Engl. J. Med., vol. 335, pp. 1445-53 (1996).

The problem of resistance is not limited to the area of anti-infective agents. Resistance has also been encountered with anti-proliferative agents used in cancer chemotherapy. Therefore, the need exists for new anti-infective and anti-proliferative agents that are both effective against resistant bacteria and resistant strains of cancer cells.

Despite the problem of increasing antibiotic resistance, no new major classes of antibiotics have been developed for clinical use since the approval in the United States in 2000 of the oxazolidinone ring-containing antibiotic, linezolid, which is sold under the trade name Zyvox®. See, R. C. Moellering, Jr., “Linezolid: The First Oxazolidinone Antimicrobial,” Annals of Internal Medicine, vol. 138, no. 2, pp. 135-142 (2003). Linezolid was approved for use as an anti-bacterial agent active against Gram-positive organisms. However, linezolid-resistant strains of organisms are already being reported. See, Tsiodras et al., Lancet, vol. 358, p. 207 (2001); Gonzales et al., Lancet, vol 357, p. 1179 (2001); Zurenko et al., Proceedings Of The 39^(th) Annual Interscience Conference On Antibacterial Agents And Chemotherapy (ICAAC), San Francisco, Calif., USA (Sep. 26-29, 1999).

Another class of antibiotics is the macrolides, so named for their characteristic 14- to 16-membered ring. The macrolides also often have one or more 6-membered sugar-derived rings attached to the main macrolide ring. The first macrolide antibiotic to be developed was erythromycin, which was isolated from a soil sample from the Philippines in 1952. Even though erythromycin has been one of the most widely prescribed antibiotics, its disadvantages are relatively low bioavailability, gastrointestinal side effects, and a limited spectrum of activity. Another macrolide is the compound, azithromycin, which is an azolide derivative of erythromycin incorporating a methyl-substituted nitrogen in the macrolide ring. Azithromycin is sold under the trade name Zithromax®. A more recently introduced macrolide is telithromycin, which is sold under the trade name Ketek®. Telithromycin is a semisynthetic macrolide in which a hydroxyl group of the macrolide ring has been oxidized to a ketone group. See Yong-Ji Wu, Highlights of Semi-synthetic Developments from Erythromycin A, Current Pharm. Design, vol. 6, pp. 181-223 (2000), and Yong-Ji Wu and Wei-uo Su, Recent Developments on Ketolides and Macrolides, Curr. Med. Chem., vol. 8, no. 14, pp. 1727-1758 (2001).

In the search for new therapeutic agents, researchers have tried combining or linking various portions of antibiotic molecules to create multifunctional or hybrid compounds Other researches have tried making macrolide derivatives by adding further substituents to the large macrolide ring or associated sugar rings. However, this approach for making macrolide derivatives has also met with limited success.

Notwithstanding the foregoing, there is an ongoing need for new anti-infective and anti-proliferative agents. Furthermore, because many anti-infective and anti proliferative agents have utility as anti-inflammatory agents and prokinetic agents, there is also an ongoing need for new compounds useful as anti-inflammatory and prokinetic agents. The present invention provides compounds that meet these needs.

SUMMARY OF THE INVENTION

The invention provides compounds useful as anti-infective agents and/or anti-proliferative agents, for example, anti-biotic agents, anti-microbial agents, anti-bacterial agents, anti-fungal agents, anti-parasitic agents, anti-viral agents, and chemotherapeutic agents. The present invention also provides compounds useful as anti-inflammatory agents, and/or prokinetic (gastrointestinal modulatory) agents. The present invention also provides pharmaceutically acceptable salts, esters, N-oxides, or prodrugs thereof.

The present invention provides compounds having the structure:

or a stereoisomer, pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof. In the formula, variables A, T, X, R¹, R², R³, R¹¹, and n can be selected from the respective groups of chemical moieties later defined in the detailed description. In addition, the invention provides methods of synthesizing the foregoing compounds. Following synthesis, a therapeutically effective amount of one or more of the compounds can be formulated with a pharmaceutically acceptable carrier for administration to a mammal, particularly humans, for use as an anti-cancer, anti-biotic, anti-microbial, anti-bacterial, anti-fungal, anti-parasitic or anti-viral agent, or to treat a proliferative disease, an inflammatory disease or a gastrointestinal motility disorder, or to suppress disease states or conditions caused or mediated by nonsense or missense mutations. Accordingly, the compounds or the formulations can be administered, for example, via oral, parenteral, or topical routes, to provide an effective amount of the compound to the mammal.

The foregoing and other aspects and embodiments of the invention can be more fully understood by reference to the following detailed description and claims.

DETAILED DESCRIPTION OF THE INVENTION

The present invention provides a family of compounds that can be used as anti-proliferative agents and/or anti-infective agents. The compounds can be used without limitation, for example, as anti-cancer, anti-microbial, anti-bacterial, anti-fungal, anti-parasitic and/or anti-viral agents. Further, the present invention provides a family of compounds that can be used without limitation as anti-inflammatory agents, for example, for use in treating chronic inflammatory airway diseases, and/or as prokinetic agents, for example, for use in treating gastrointestinal motility disorders such as gastroesophageal reflux disease, gastroparesis (diabetic and post surgical), irritable bowel syndrome, and constipation. Further, the compounds can be used to treat or prevent a disease state in a mammal caused or mediated by a nonsense or missense mutation.

The compounds described herein can have asymmetric centers. Compounds of the present invention containing an asymmetrically substituted atom can be isolated in optically active or racemic forms. It is well known in the art how to prepare optically active forms, such as by resolution of racemic forms or by synthesis from optically active starting materials. Many geometric isomers of olefins, C═N double bonds, and the like can also be present in the compounds described herein, and all such stable isomers are contemplated in the present invention. Cis and trans geometric isomers of the compounds of the present invention are described and can be isolated as a mixture of isomers or as separate isomeric forms. All chiral, diastereomeric, racemic, and geometric isomeric forms of a structure are intended, unless specific stereochemistry or isomeric form is specifically indicated. All processes used to prepare compounds of the present invention and intermediates made therein are considered to be part of the present invention. All tautomers of shown or described compounds are also considered to be part of the present invention.

1. DEFINITIONS

The term “substituted,” as used herein, means that any one or more hydrogens on the designated atom is replaced with a selection from the indicated group, provided that the designated atom's normal valency is not exceeded, and that the substitution results in a stable compound. When a substituent is keto (i.e., ═O), then 2 hydrogens on the atom are replaced. Ring double bonds, as used herein, are double bonds that are formed between two adjacent ring atoms (e.g., C═C, C═N, or N═N).

The present invention is intended to include all isotopes of atoms occurring in the present compounds. Isotopes include those atoms having the same atomic number but different mass numbers. By way of general example and without limitation, isotopes of hydrogen include tritium and deuterium. Isotopes of carbon include C-13 and C-14.

When any variable (e.g., R³) occurs more than one time in any constituent or formula for a compound, its definition at each occurrence is independent of its definition at every other occurrence. Thus, for example, if a group is shown to be substituted with one or more R³ moieties, then the group can optionally be substituted with one, two, three, four, five, or more R³ moieties, and R³ at each occurrence is selected independently from the definition of R³. Also, combinations of substituents and/or variables are permissible, but only if such combinations result in stable compounds.

A chemical structure showing a dotted line representation for a chemical bond indicates that the bond is optionally present. For example, a dotted line drawn next to a solid single bond indicates that the bond can be either a single bond or a double bond.

When a bond to a substituent is shown to cross a bond connecting two atoms in a ring, then such substituent can be bonded to any atom on the ring. When a substituent is listed without indicating the atom via which such substituent is bonded to the rest of the compound of a given formula, then such substituent can be bonded via any atom in such substituent. Combinations of substituents and/or variables are permissible, but only if such combinations result in stable compounds.

In cases wherein there are nitrogens in the compounds of the present invention, these can be converted to N-oxides by treatment with an oxidizing agent (e.g., MCPBA and/or hydrogen peroxides) to afford other compounds of the present invention. Thus, all shown and claimed nitrogens are considered to cover both the shown nitrogen and its N-oxide (N→O) derivative.

As used herein, the term “anomeric carbon” means the acetal carbon of a glycoside.

As used herein, the term “glycoside” is a cyclic acetal.

As used herein, “alkyl” is intended to include both branched and straight-chain saturated aliphatic hydrocarbon groups having the specified number of carbon atoms. C₁₋₆ alkyl is intended to include C₁, C₂, C₃, C₄, C₅, and C₆ alkyl groups. C₁₋₈ alkyl is intended to include C₁, C₂, C₃, C₄, C₅, C₆, C₇, and C₈ alkyl groups. Examples of alkyl include, but are not limited to, methyl, ethyl, n-propyl, i-propyl, n-butyl, s-butyl, t-butyl, n-pentyl, s-pentyl, n-hexyl, n-heptyl, and n-octyl.

As used herein, “alkenyl” is intended to include hydrocarbon chains of either straight or branched configuration and one or more unsaturated carbon-carbon bonds that can occur in any stable point along the chain, such as ethenyl and propenyl. C₂₋₆ alkenyl is intended to include C₂, C₃, C₄, C₅, and C₆ alkenyl groups. C₂₋₈ alkenyl is intended to include C₂, C₃, C₄, C₅, C₆, C₇, and C₈ alkenyl groups.

As used herein, “alkynyl” is intended to include hydrocarbon chains of either straight or branched configuration and one or more triple carbon-carbon bonds that can occur in any stable point along the chain, such as ethynyl and propynyl. C₂₋₆ alkynyl is intended to include C₂, C₃, C₄, C₅, and C₆ alkynyl groups. C₂₋₈ alkynyl is intended to include C₂, C₃, C₄, C₅, C₆, C₇, and C₈ alkynyl groups.

Furthermore, “alkyl”, “alkenyl”, and “alkynyl” are intended to include moieties which are diradicals, i.e., having two points of attachment, an example of which in the present invention is when D is selected from these chemical groups. A nonlimiting example of such an alkyl moiety that is a diradical is —CH₂CH₂—, i.e., a C₂ alkyl group that is covalently bonded via each terminal carbon atom to the remainder of the molecule.

As used herein, the terms used to describe various carbon-containing moieties, including, for example, “alkyl,” “alkenyl,” “alkynyl,” “phenyl,” and any variations thereof, are intended to include univalent, bivalent, or multivalent species. For example, “C₁₋₆ alkyl-R³” is intended to represent a univalent C₁₋₆ alkyl group substituted with a R³ group, and “O—C₁₋₆ alkyl-R³” is intended to represent a bivalent C₁₋₆ alkyl group, i.e., an “alkylene” group, substituted with an oxygen atom and a R³ group.

As used herein, “cycloalkyl” is intended to include saturated ring groups, such as cyclopropyl, cyclobutyl, or cyclopentyl. C₃₋₈ cycloalkyl is intended to include C₃, C₄, C₅, C₆, C₇, and C₈ cycloalkyl groups.

As used herein, “halo” or “halogen” refers to fluoro, chloro, bromo, and iodo. “Counterion” is used to represent a small, negatively charged species such as chloride, bromide, hydroxide, acetate, and sulfate.

As used herein, “haloalkyl” is intended to include both branched and straight-chain saturated aliphatic hydrocarbon groups having the specified number of carbon atoms, substituted with 1 or more halogen (for example —C_(v)F_(w) where v=1 to 3 and w=1 to (2v+1)). Examples of haloalkyl include, but are not limited to, trifluoromethyl, trichloromethyl, pentafluoroethyl, and pentachloroethyl.

As used herein, “alkoxy” refers to an alkyl group as defined above with the indicated number of carbon atoms attached through an oxygen bridge. C₁₋₆ alkoxy, is intended to include C₁, C₂, C₃, C₄, C₅, and C₆ alkoxy groups. C₁₋₈ alkoxy, is intended to include C₁, C₂, C₃, C₄, C₅, C₆, C₇, and C₈ alkoxy groups. Examples of alkoxy include, but are not limited to, methoxy, ethoxy, n-propoxy, i-propoxy, n-butoxy, s-butoxy, t-butoxy, n-pentoxy, s-pentoxy, n-heptoxy, and n-octoxy.

As used herein, “alkylthio” refers to an alkyl group as defined above with the indicated number of carbon atoms attached through an sulfur bridge. C₁₋₆ alkylthio, is intended to include C₁, C₂, C₃, C₄, C₅, and C₆ alkylthio groups. C₁₋₈ alkylthio, is intended to include C₁, C₂, C₃, C₄, C₅, C₆, C₇, and C₈ alkylthio groups.

As used herein, “carbocycle” or “carbocyclic ring” is intended to mean, unless otherwise specified, any stable 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12-membered monocyclic, bicyclic or tricyclic ring, any of which can be saturated, unsaturated (including partially and fully unsaturated), or aromatic, recognizing that rings with certain numbers of members cannot be bicyclic or tricyclic, e.g., a 3-membered ring can only be a monocyclic ring. Examples of such carbocycles include, but are not limited to, cyclopropyl, cyclobutyl, cyclobutenyl, cyclopentyl, cyclopentenyl, cyclohexyl, cycloheptenyl, cycloheptyl, cycloheptenyl, adamantyl, cyclooctyl, cyclooctenyl, cyclooctadienyl, [3.3.0]bicyclooctane, [4.3.0]bicyclononane, [4.4.0]bicyclodecane, [2.2.2]bicyclooctane, fluorenyl, phenyl, naphthyl, indanyl, adamantyl, and tetrahydronaphthyl. As shown above, bridged rings are also included in the definition of carbocycle (e.g., [2.2.2]bicycloactane). A bridged ring occurs when one or more carbon atoms link two non-adjacent carbon atoms. Preferred bridges are one or two carbon atoms. It is noted that a bridge always converts a monocyclic ring into a tricyclic ring. When a ring is bridged, the substituents recited for the ring can also be present on the bridge. Fused (e.g., naphthyl and tetrahydronaphthyl) and Spiro rings are also included.

As used herein, the term “heterocycle” means, unless otherwise stated, a stable 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12-membered monocyclic, bicyclic or tricyclic ring (recognizing that rings with certain numbers of members cannot be bicyclic or tricyclic, e.g., a 3-membered ring can only be a monocyclic ring), which is saturated, unsaturated (including partially and fully unsaturated), or aromatic, and consists of carbon atoms and one or more ring heteroatoms, e.g., 1 or 1-2 or 1-3 or 1-4 or 1-5 or 1-6 heteroatoms, independently selected from nitrogen, oxygen, and sulfur, and including any bicyclic or tricyclic group in which any of the above-defined heterocyclic rings is fused to a second ring (e.g., a benzene ring). The nitrogen and sulfur heteroatoms can optionally be oxidized (i.e., N→O and S(O)_(p), where p=1 or 2). When a nitrogen atom is included in the ring it is either N or NH, depending on whether or not it is attached to a double bond in the ring (i.e., a hydrogen is present if needed to maintain the tri-valency of the nitrogen atom). The nitrogen atom can be substituted or unsubstituted (i.e., N or NR wherein R is H or another substituent, as defined). The heterocyclic ring can be attached to its pendant group at any heteroatom or carbon atom that results in a stable structure. The heterocyclic rings described herein can be substituted on carbon or on a nitrogen atom if the resulting compound is stable. A nitrogen in the heterocycle can optionally be quaternized. Bridged rings are also included in the definition of heterocycle. A bridged ring occurs when one or more atoms (i.e., C, O, N, or S) link two non-adjacent carbon or nitrogen atoms. Preferred bridges include, but are not limited to, one carbon atom, two carbon atoms, one nitrogen atom, two nitrogen atoms, and a carbon-nitrogen group. It is noted that a bridge always converts a monocyclic ring into a tricyclic ring. When a ring is bridged, the substituents recited for the ring can also be present on the bridge. Spiro and fused rings am also included.

As used herein, the term “aromatic heterocycle” or “heteroaryl” is intended to mean a stable 5, 6, 7, 8, 9, 10, 11, or 12-membered monocyclic or bicyclic aromatic ring (recognizing that rings with certain numbers of members cannot be a bicyclic aromatic, e.g., a 5-membered ring can only be a monocyclic aromatic ring), which consists of carbon atoms and one or more heteroatoms, e.g., 1 or 1-2 or 1-3 or 1-4 or 1-5 or 1-6 heteroatoms, independently selected from nitrogen, oxygen, and sulfur. In the case of bicyclic heterocyclic aromatic rings, only one of the two rings needs to be aromatic (e.g., 2,3-dihydroindole), though both can be (e.g., quinoline). The second ring can also be fused or bridged as defined above for heterocycles. The nitrogen atom can be substituted or unsubstituted (i.e., N or NR wherein R is H or another substituent, as defined). The nitrogen and sulfur heteroatoms can optionally be oxidized (i.e., N→O and S(O)_(p), where p=1 or 2). In some compounds, the total number of S and O atoms in the aromatic heterocycle is not more than 1.

Examples of heterocycles include, but are not limited to, acridinyl, azocinyl, benzimidazolyl, benzofuranyl, benzothiofuranyl, benzothiophenyl, benzoxazolyl, benzoxazolinyl, benzthiazolyl, benztriazolyl, benztetrazolyl, benzisoxazolyl, benzisothiazolyl, benzimidazolinyl, carbazolyl, 4aH-carbazolyl, carbolinyl, chromanyl, chromenyl, cinnolinyl, decahydroquinolinyl, 2H,6H-1,5,2-dithiazinyl, dihydrofuro[2,3-b]tetrahydrofuran, furanyl, furazanyl, imidazolidinyl, imidazolinyl, imidazolyl, 1H-indazolyl, indolenyl, indolinyl, indolizinyl, indolyl, 3H indolyl, isatinoyl, isobenzofuranyl, isochromanyl, isoindazolyl, isoindolinyl, isoindolyl, isoquinolinyl, isothiazolyl, isoxazolyl, methylenedioxyphenyl, morpholinyl, naphthyridinyl, octahydroisoquinofinyl, oxadiazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, oxazolidinyl, oxazolyl, oxindolyl, pyrimidinyl, phenanthridinyl, phenanthrolinyl, phenazinyl, phenothiazinyl, phenoxathinyl, phenoxazinyl, phthalazinyl, piperazinyl, piperidinyl, piperidonyl, 4-piperidonyl, piperonyl, pteridinyl, purinyl, pyranyl, pyrazinyl, pyrazolidinyl, pyrazolinyl, pyrazolyl, pyridazinyl, pyridooxazole, pyridoimidazole, pyridothiazole, pyridinyl, pyridyl, pyrimidinyl, pyrrolidinyl, pyrrolinyl, 2H-pyrrolyl, pyrrolyl, quinazolinyl, quinolinyl, 4H-quinolizinyl, quinoxalinyl, quinuelidinyl, tetrahydrofuranyl, tetrahydroisoquinolinyl, tetrahydroquinolinyl, tetrazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, thianthrenyl, thiazolyl, thienyl, thienothiazolyl, thienooxazolyl, thienoimidazolyl, thiophenyl, triazinyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-triazolyl, 1,3,4-triazolyl, and xanthenyl.

As used herein, the phrase “pharmaceutically acceptable” refers to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.

As used herein, “pharmaceutically acceptable salts” refer to derivatives of the disclosed compounds wherein the parent compound is modified by making acid or base salts thereof. Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like. The pharmaceutically acceptable salts include the conventional non-toxic salts or the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids. For example, such conventional non-toxic salts include, but are not limited to, those derived from inorganic and organic acids selected from 2-acetoxybenzoic, 2-hydroxyethane sulfonic, acetic, ascorbic, benzene sulfonic, benzoic, bicarbonic, carbonic, citric, edetic, ethane disulfonic, ethane sulfonic, fumaric, glucoheptonic, gluconic, glutamic, glycolic, glycollyarsanilic, hexylresorcinic, hydrabamic, hydrobromic, hydrochloric, hydroiodide, hydroxymaleic, hydroxynaphthoic, isethionic, lactic, lactobionic, lauryl sulfonic, maleic, malic, mandelic, methane sulfonic, napsylic, nitric, oxalic, panicle, pantothenic, phenylacetic, phosphoric, polygalacturonic, propionic, salicylic, stearic, subacetic, succinic, sulfamic, sulfartilic, sulfuric, tannic, tartaric, and toluene sulfonic.

The pharmaceutically acceptable salts of the present invention can be synthesized from the parent compound that contains a basic or acidic moiety by conventional chemical methods. Generally, such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two; generally, non-aqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile are preferred. Lists of suitable salts are found in Remington's Pharmaceutical Sciences, 18th ed., Mack Publishing Company, Easton, Pa., USA, p. 1445 (1990).

Since prodrugs are known to enhance numerous desirable qualities of pharmaceuticals (e.g., solubility, bioavailability, manufacturing, etc.) the compounds of the present invention can be delivered in prodrug form. Thus, the present invention is intended to cover prodrugs of the presently claimed compounds, methods of delivering the same and compositions containing the same. “Prodrugs” are intended to include any covalently bonded carriers that release an active parent drug of the present invention in vivo when such prodrug is administered to a mammalian subject. Prodrugs the present invention are prepared by modifying functional groups present in the compound in such a way that the modifications are cleaved, either in routine manipulation or in vivo, to the parent compound. Prodrugs include compounds of the present invention wherein a hydroxy, amino, or sulfhydryl group is bonded to any group that, when the prodrug of the present invention is administered to a mammalian subject, it cleaves to form a free hydroxyl, free amino, or free sulfhydryl group, respectively. Examples of prodrugs include, but are not limited to acetate, formate, and benzoate derivatives of alcohol and amine functional groups in the compounds of the present invention.

“Stable compound” and “stable structure” are meant to indicate a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into an efficacious therapeutic agent.

As used herein, “treating” or “treatment” means the treatment of a disease-state in a mammal, particularly in a human, and include: (a) preventing the disease-state from occurring in a mammal, in particular, when such mammal is predisposed to the disease-state but has not yet been diagnosed as having it; (b) inhibiting the disease-state, i.e., arresting its development; and/or (c) relieving the disease-state, i.e., causing regression of the disease state.

As used herein, “mammal” refers to human and non-human patients.

As used herein, the term “therapeutically effective amount” refers to a compound, or a combination of compounds, of the present invention present in or on a recipient in an amount sufficient to elicit biological activity, for example, anti-microbial activity, anti-fungal activity, anti-viral activity, anti-parasitic activity, and/or anti-proliferative activity. The combination of compounds is preferably a synergistic combination. Synergy, as described, for example, by Chou and Talalay, Adv. Enzyme Regul. vol. 22, pp. 27-55 (1984), occurs when the effect of the compounds when administered in combination is greater than the additive effect of the compounds when administered alone as a single agent. In general, a synergistic effect is most clearly demonstrated at sub-optimal concentrations of the compounds. Synergy can be in terms of lower cytotoxicity, increased anti-proliferative and/or anti-infective effect, or some other beneficial effect of the combination compared with the individual components.

All percentages and ratios used herein, unless otherwise indicated, are by weight.

Throughout the description, where compositions are described as having, including, or comprising specific components, or where processes are described as having, including, or comprising specific process steps, it is contemplated that compositions of the present invention also consist essentially of, or consist of, the recited components, and that the processes of the present invention also consist essentially of, or consist of, the recited processing steps. Further, it should be understood that the order of steps or order for performing certain actions are immaterial so long as the invention remains operable. Moreover, two or more steps or actions can be conducted simultaneously.

2. COMPOUNDS OF THE INVENTION

The invention provides a compound having the structure:

or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein

A is selected from (a) a C₁₋₆ alkyl group, (b) a C₂₋₆ alkenyl group, (c) a C₂₋₆ alkynyl group, (d) a C₃₋₁₂ saturated, unsaturated, or aromatic carbocycle, (e) a 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more nitrogen, oxygen or sulfur atoms, (f) H, (g) —OH (h) —SH, (i) F, (j) Cl, (k) Br, (l) I, (m) —CF₃, (n) —CN, (o) —N₃ (p) —NO₂, (q) —NR⁶(CR⁶R⁶)_(t)R⁹, (r) —OR⁹, (s) —S(CR⁶R⁶)_(t)R⁹, (t) —S(O)(CR⁶R⁶)_(t)R⁹, (u) —S(O)₂(CR⁶R⁶)_(t)R⁹ (v) —C(O)(CR⁶R⁶)_(t)R⁹, (w) —OC(O)(CR⁶R⁶)_(t)R⁹, (x) —OC(O)O(CR⁶R⁶)_(t)R⁹, (y) —SC(O)(CR⁶R⁶)_(t)R³, (z) —C(O)O (CR⁶R⁶)_(t)R⁹, (aa) —NR⁶C(O)(CR⁶R⁶)_(t)R⁹, (bb) —C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (cc) —C(═NR⁶)(CR⁶R⁶)_(t)R⁹, (dd) —C(═NNR⁶R⁶)(CR⁶R⁶)_(t)R⁹, (ee) —C[═NNR⁶C(O)R⁶](CR⁶R⁶)_(t)R⁹, (ff) —NR⁶C(O)O(CR⁶R⁶)_(t)R⁹, (gg) —OC(O)NR⁶(CR⁶R⁶)_(t)R⁹, (hh) —NR⁶C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (ii) —NR⁶S(O)_(p)(CR⁶R⁶)_(t)R⁹, (jj) —S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (kk) —NR⁶R⁶, (ll) —NR⁶(CR⁶R⁶)_(t)R⁹, (mm) —SR⁶, (nn) —S(O)R⁶, (oo) —S(O)₂R⁶, (pp) —NR⁶C(O)R⁶, (qq) —Si(R¹³)₃, and (rr) —C(═O)H;

wherein (a)-(e) optionally are substituted with one or more R¹⁴ groups;

T is a 14- or 15-membered macrolide connected via a macrocyclic ring carbon atom;

X is selected from —OR¹³ and —SR¹⁵,

R¹ and R³ independently are selected from: (a) H, (b) a

C₁₋₄ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a C₂₋₆ alkynyl group, (e) —C(O)R⁵, (f) —C(O)OR⁵, (g) —C(O)—NR⁴R⁴, (h) —C(S)R⁵, (i) —C(S)OR³, (j) —C(O)SR³, or (k) —C(S)—NR⁴R⁴;

alternatively R¹ and R³ are taken together with the oxygen to which R¹ is attached, the nitrogen to which R³ is attached and the two intervening carbon's to form a 5 or 6 membered ring, said ring being optionally substituted with one or more R⁵;

R² is hydrogen or —OR¹²;

R⁴, at each occurrence, independently is selected from:

-   -   (a) H, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a         C₂₋₆ alkynyl group, (e) a C₆₋₁₀ saturated, unsaturated, or         aromatic carbocycle, (f) a 3-12 membered saturated, unsaturated,         or aromatic heterocycle containing one or more heteroatoms         selected from nitrogen, oxygen, and sulfur, (g) —C(O)—C₁₋₆         alkyl, (h) —C(O)—C₂₋₆ alkenyl, (i) —C(O)—C₂₋₆ alkynyl, (j)         —C(O)—C₆₋₁₀ saturated, unsaturated, or aromatic carbocycle, (k)         —C(O)-3-12 membered saturated, unsaturated, or aromatic         heterocycle containing one or more heteroatoms selected from         nitrogen, oxygen, and sulfur, (l) —C(O)O—C₁₋₆ alkyl, (m)         —C(O)O—C₂₋₆ alkenyl, (n) —C(O)O—C₂₋₆ alkynyl, (o) —C(O)O—C₆₋₁₀         saturated, unsaturated, or aromatic carbocycle, p) —C(O)O-3-12         membered saturated, unsaturated, or aromatic heterocycle         containing one or more heteroatoms selected from nitrogen,         oxygen, and sulfur, and q) —C(O)NR⁶R⁶,         -   wherein any of (b)-(p) optionally is substituted with one or             more R⁵ groups,

alternatively, NR⁶R⁶ forms a 3-7 membered saturated, unsaturated or aromatic ring including the nitrogen atom to which the R⁶ groups are attached, wherein said ring is optionally substituted at a position other than the nitrogen atom to which the R⁶ groups are attached, with one or more substituents selected from O, S(O)_(p), N, and NR⁸;

R⁵ is selected from:

-   -   (a) R⁷, (b) a C₁₋₈ alkyl group, (c) a d₂₋₈ alkenyl group, (d) a         C₂₋₈ alkynyl group, (e) a C₃₋₁₂ saturated, unsaturated, or         aromatic carbocycle, and (f) a 3-12 membered saturated,         unsaturated, or aromatic heterocycle containing one or more         heteroatoms selected from nitrogen, oxygen, and sulfur, or two         R⁵ groups, when present on the same carbon atom can be taken         together with the carbon atom to which they are attached to form         a spiro 3-6 membered carbocyclic ring or heterocyclic ring         containing one or more heteroatoms selected from nitrogen,         oxygen, and sulfur;         -   wherein any of (b)-(f) immediately above optionally is             substituted with one or more R⁷ groupS;

R⁶, at each occurrence, independently is selected from:

-   -   (a) H, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a         C₂₋₆ alkynyl group, (e) a C₃₋₁₀ saturated, unsaturated, or         aromatic carbocycle, and (f) a 3-10 membered saturated,         unsaturated, or aromatic heterocycle containing one or more         heteroatoms selected from nitrogen, oxygen, and sulfur,         -   wherein any of (b)-(f) optionally is substituted with one or             more moieties selected from:             -   (aa) a carbonyl group, (bb) a formyl group, (cc) F, (dd)                 Cl, (ee) Br, (ff) I, (gg) CN, (hh) NO₂, (ii) —OR⁸, (jj)                 —S(O)_(p)R⁸, (kk) —(O)R⁸, (ll) —C(O)OR⁸, (mm) —OC(O)R⁸,                 (nn) —C(O)NR⁸R⁸, (oo) —OC(O)NR⁸R⁸, (pp) —C(NR⁸)R⁸, (qq)                 —C(R⁸)(R⁸)OR⁸, (rr) —C(R⁸)₂OC(O)R⁸, (ss)                 —C(R⁸)(OR⁸)(CH₂)_(r)NR⁸R⁸, (tt) —NR⁸R⁸, (uu) —NR⁸OR⁸,                 (vv) —NR⁸C(O)R⁸, (ww) —NR⁸C(O)OR⁸, (xx) —NR⁸C(O)NR⁸R⁸,                 (yy) —NR⁸S(O)_(r)R⁸, (zz) —C(OR⁸)(OR⁸)R⁸, (ab)                 —C(R⁸)₂NR⁸R⁸, (ac) ═NR⁸, (ad) —C(S)NR⁸R⁸, (ae)                 —NR⁸C(S)R⁸, (af) —OC(S)NR⁸R⁸, (ag) —NR⁸C(S)OR⁸, (ah)                 —NR⁸C(S)NR⁸R⁸, (ai) —SC(O)R⁸, (aj) a C₁₋₈ alkyl group;                 (ak) a C₂₋₈ alkenyl group; (al) a C₂₋₈ alkynyl group,                 (am) a C₁₋₈ alkoxy group; (an) a C₁₋₈ alkylthio group,                 (ao) a C₁₋₈ acyl group, (ap) —CF₃, (aq) —SCF₃, (ar) a                 C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle;                 and (as) a 3-10 membered saturated, unsaturated, or                 aromatic heterocycle containing one or more heteroatoms                 selected from nitrogen, oxygen, and sulfur,

alternatively, NR⁶R⁶ forms a 3-10 membered saturated, unsaturated or aromatic ring including the nitrogen atom to which the R⁶ groups are attached wherein said ring is optionally substituted at a position other than the nitrogen atom to which the R⁶ groups are bonded, with one or more moieties selected from O, S(O)_(p), N, and NR⁸;

alternatively, CR⁶R⁶ forms a carbonyl group;

R⁷, at each occurrence, is selected from:

-   -   (a) H, (b) ═O, (c) ═S, (d) F, (e) Cl, (f) Br, (g) I, (l)         —CF₃, (i) —CN, (j) —N₃ (k) —NO₂, (l) —NR⁶(CR⁶R⁶)_(t)R⁹, (m)         —OR⁹, (n) —S(O)_(p)C(R⁶R⁶)_(t)R⁹, (o) —C(O)(CR⁶R⁶)_(t)R⁹, (p)         —OC(O)(CR⁶R⁶)_(t)R⁹, (q) —SC(O)(CR⁶R⁶)_(t)R⁹, (r)         —C(O)O(CR⁶R⁶)_(t)R⁹, (s) —NR⁶C(O)(CR⁶R⁶)_(t)R⁹, (t)         —C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (u) —C(═NR⁶)(CR⁶R⁶)_(t)R⁹, (v)         —C(═NNR⁶R⁶)(CR⁶R⁶)_(t)R⁹, (w) —C(═NNR⁶C(O)R⁶)(CR⁶R⁶)_(t)R⁹, (x)         —C(═NOR⁹)(CR⁶R⁶)_(t)R⁹, (y) —NR⁶C(O)O(CR⁶R⁶)_(t)R⁹, (z)         —OC(O)NR⁶(CR⁶R⁶)_(t)R⁹, (aa) —NR⁶C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (bb)         —NR⁶S(O)_(p)(CR⁶R⁶)_(t)R⁹, (cc) —S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (dd)         —NR⁶S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (ee) —NR⁶R⁶, (ff) —NR⁶(CR⁶R⁶),         (gg) —OH, (hh) —NR⁶R⁶, (ii) —OCH₃, (jj) —S(O)_(p)R⁶, (kk)         —NC(O)R⁶, (ll) a C₁₋₆ alkyl group, (mm) a C₂₋₆ alkenyl group,         (nn) a C₂₋₆ alkynyl group, (oo) —C₃₋₁₀ saturated, unsaturated,         or aromatic carbocycle, and (pp) 3-10 membered saturated,         unsaturated, or aromatic heterocycle containing one or more         heteroatoms selected from nitrogen, oxygen, and sulfur,         -   wherein any of (ll)-(pp) optionally is substituted with one             or more R⁹ groups;

alternatively, two R⁷ groups can form —O(CH₂)_(u)O—;

R⁸ is selected from:

-   -   (a) H, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a         C₂₋₆ alkynyl group, (e) a C₃₋₁₀ saturated, unsaturated, or         aromatic carbocycle, (f) a 3-10 membered saturated, unsaturated,         or aromatic heterocycle containing one or more heteroatoms         selected from nitrogen, oxygen; and Sulfur; (g) —C(O)—C₁₋₆         alkyl; (h) —C(O)—C₁₋₆ alkenyl, (i) —C(O)—C₁₋₆ alkynyl, (j)         —C(O)—C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle,         and (k) —C(O)-3-10 membered saturated, unsaturated, or aromatic         heterocycle containing one or more heteroatoms selected from         nitrogen, oxygen, and sulfur,         -   wherein any of (c)-(k) optionally is substituted with one or             more moieties selected from: (aa) H, (bb) F, (cc) Cl, (dd)             Br, (ee) I, (ff) CN, (gg) NO₂, (hh) OH, (ii) NH₂, (jj)             NH(C₁₋₄ alkyl), (kk) N (C₁₋₆ alkyl)₂, (ll) a C₁₋₆ alkoxy             group, (mm) an aryl group, (nn) a substituted aryl group,             (oo) a heteroaryl group, (pp) a substituted heteroaryl             group, and qq) a C₁₋₆ alkyl group optionally substituted             with one or more moieties selected from an aryl group, a             substituted aryl group, a heteroaryl group, a substituted             heteroaryl group, F, Cl, Br, I, CN, NO₂, CF₃, SCF₃, and OH;

R⁹, at each occurrence, independently is selected from:

-   -   (a) R¹⁰, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a         C₂₋₆ alkynyl group, e) a C₃₋₁₀ saturated, unsaturated, or         aromatic carbocycle, and f) a 3-10 membered saturated,         unsaturated, or aromatic heterocycle containing one or more         heteroatoms selected from nitrogen, oxygen, and sulfur,         -   wherein any of (b)-(f) optionally is substituted with one or             more R¹⁰ groups;

R¹⁰, at each occurrence, independently is selected from:

-   -   (a) H, (b) ═O, (c) F, (d) Cl, (e) Br, (f) I, (g) —CF₃, (h)         —CN, (i) —NO₂, —NR⁶R⁶, (k) —OR⁶, (l) —S(O)_(p)R⁶, (m)         —(O)R⁶, (n) —C(O)OR⁶, (o) —OC(O)R⁶, (p) NR⁶C(O)R⁶, (q)         —C(O)NR⁶R⁶, (r) —C(═NR⁶)R⁶, (s) —NR⁶C(O)NR⁶R⁶, (t)         —NR⁶S(O)_(p)R⁶, (u) —S(O)_(p)NR⁶R⁶, (v) —NR⁶S(O)_(p)NR⁶R⁶, (w) a         C₁₋₆ alkyl group, (x) a C₂₋₆ alkenyl group, (y) a C₂₋₆ alkynyl         group, (z) a C₃₋₁₀ saturated, unsaturated, or aromatic         carbocycle, and (aa) a 3-10 membered saturated, unsaturated, or         aromatic heterocycle containing one or More heteroatoms selected         from nitrogen, oxygen, and sulfur,         -   wherein any of (w)-(aa) optionally is substituted with one             or more moieties selected from R⁶, F, Cl, Br, I, CN, NO₂,             —OR⁶, —NH₂, —NH(C₁₋₆ alkyl), —N(C₁₋₆ alkyl)₂, a C₁₋₆ alkoxy             group, a C₁₋₆ alkylthio group, and a C₁₋₆ acyl group;

R¹¹ at each occurrence, independently is selected from:

-   -   (a) H, (b) F, (c) Cl, (d) Br, (e) I, (f) CN, (g) NO₂, (h)         OR⁸, (i) —S(O)_(p)R⁸, (j) —C(O)R⁸, (k) —C(O)OR⁸, (l)         —OC(O)R⁸, (m) —C(O)NR⁸R⁸, (n) —OC(O)NR⁸R⁸,     -   (o) —C(═NR⁸)R⁸, (p) —C(R⁸)(R⁸)OR⁸, (q) —C(R⁸)₂OC(O)R⁸, (r)         —C(R⁸)(OR⁸)(CH₂)_(r)NR⁸R⁸, (s) —NR⁸R⁸, (t) —NR⁸OR⁸, (u)         —NR⁸C(O)R⁸, (v) —NR⁸C(O)OR⁸, (w) —NR⁸C(O)NR⁸R⁸, (x)         —NR⁸S(O)_(p)R⁸, (y) —C(OR⁸)(OR⁸)R⁸, (z) —C(R⁸)₂NR⁸R⁸, (aa)         —C(S)NR⁸R⁸, (bb) —NR⁸C(S)R⁸, (cc) —OC(S)NR⁸R⁸, (dd) —NR⁸C(S)OR⁸,         (ee) —NR⁸C(S)NR⁸R⁸, (ff) —SC(O)R⁸, (gg) —N₃, (hh)         —Si(R¹³)₃, (ii) a C₁₋₈ alkyl group, (jj) a C₂₋₈ alkenyl group,         (kk) a C₂₋₈ alkynyl group, (ll) a C₃₋₁₀ saturated, unsaturated,         or aromatic carbocycle, and (mm) a 3-10 membered saturated,         unsaturated, or aromatic heterocycle containing one or more         heteroatoms selected from nitrogen, oxygen, and sulfur, wherein         (ii)-(mm) optionally are substituted with one or more R⁵ groups;

R¹² is selected from:

-   -   (a) H, (b) a C₁₋₆ alkyl group, (c) a C₂₋₄ alkenyl group, (d) a         C₂₋₆ alkynyl group, (e) —C(O)R⁵, (f) —C(O)OR⁵, (g)         —C(O)—NR⁴R⁴R⁴R⁴, (h) —C(S)R⁵, (i) —C(S)OR⁵, (j) —C(O)SR⁵, (k)         —C(S)—NR⁴R⁴R⁴R⁴, (l) a C₃₋₁₀ saturated, unsaturated, or aromatic         carbocycle, or (m) a 3-10 membered saturated, unsaturated, or         aromatic heterocycle containing one or more heteroatoms selected         from nitrogen, oxygen, and sulfur, (n) a —(C₁₋₆ alkyl)-C₃₋₁₀         saturated, unsaturated, or aromatic carbocycle, or (o) a —(C₁₋₆         alkyl)-3-10 membered saturated, unsaturated, or aromatic         heterocycle containing one or more heteroatoms selected from         nitrogen, oxygen, and sulfur,         -   wherein (a)-(d) and (l)-(o) optionally are substituted with             one or more R⁵ groups;

each R¹³ is independently selected from (a) —C₁₋₆ alkyl and (b) —O—(C₁₋₆ alkyl);

R¹⁴ at each occurrence is independently selected from:

-   -   (a) H, (b) F, (c) Cl, (d) Br, (e) I, (f) CN, (g) NO₂, (h)         OR⁸, (i) —S(O)_(p)R⁸, (j) —C(O)R⁸, (k) —C(O)OR⁸, (l)         —OC(O)R⁸, (m) —C(O)NR⁸R⁸, (n) —OC(O)NR⁸R⁸,     -   (o) —C(═NR⁸)R⁸, (p) —C(R⁸)(R⁸)OR⁸, (q) —C(R⁸)₂OC(O)R⁸, (r)         —C(R⁸)(OR⁸)(CH₂)_(r)NR⁸R⁸, (s) —NR⁸R⁸, (t) —NR⁸OR⁸, (u)         —NR⁸C(O)R⁸, (v) —NR⁸C(O)OR⁸, (w) —NR⁸C(O)NR⁸R⁸, (x)         —NR⁸S(O)_(p)R⁸, (y) —C(OR⁸)(OR⁸)R⁸, (z) —C(R⁸)₂NR⁸R⁸, (aa)         —C(S)NR⁸R⁸, (bb) —NR⁸C(S)R⁸, (cc) —OC(S)NR⁸R⁸, (dd) —NR⁸C(S)OR⁸,         (ee) —NR⁸C(S)NR⁸R⁸, (ff) —SC(O)R⁸, (gg) —N₃, (hh)         —Si(R¹³)₃, (ii) a C₁₋₃ alkyl group, (jj) a C₂₋₃ alkenyl group,         (kk) a C₂₋₄ alkynyl group, (ll) a C₃₋₁₀ saturated, unsaturated,         or aromatic carbocycle, and (mm) a 3-10 membered saturated         unsaturated, or aromatic heterocycle containing one or more         heteroatoms selected from nitrogen, oxygen, and sulfur, wherein         (ii)-(mm) optionally are substituted with one or more R⁵ groups;     -   alternatively two R¹⁴ groups are taken together to form (a)         ═O, (b) ═S, (c) ═NR⁸, (e)=NOR⁸;

R¹⁵ is selected from C₁₋₆ alkyl, optionally Substituted with from 1 to 13 fluorine atoms;

n at each occurrence is 0, 1, 2, 3, or 4;

p at each occurrence is 0, 1, or 2;

r at each occurrence is 0, 1, or 2;

t at each occurrence is 0, 1, or

and u at each occurrence is 1, 2, 3, or 4.

In further embodiments of the present invention, n is 1 or 2.

In further embodiments Of the present invention, n is 1.

In further embodiments of the present invention, R¹¹ is F.

In further embodiments of the present invention, n is 0.

In further embodiments of the present invention, X is —OR¹⁵.

In further embodiments of the present invention, X is —SR¹⁵.

In further embodiments of the present invention, R¹⁵ is C₁₋₃ alkyl, optionally substituted with from 1 to 7 fluorines.

In further embodiments of the present invention, R¹⁵ is C₁₋₂ alkyl, optionally substituted with from 1 to 5 fluorines.

In further embodiments of the present invention, R¹⁵ is selected from —CH₃, —CH₂F, —CHF₂, and —CF₃.

In further embodiments of the present invention, R¹⁵ is —CH₃.

In further embodiments of the present invention, A is selected from (a) a C₁₋₆ alkyl group, (b) a C₂₋₆ alkenyl group, (c) a C₂₋₆ alkynyl group, saturated, unsaturated, or aromatic carbocycle, (e) a 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more nitrogen, oxygen or sulfur atoms, (f) CF₃, (g) —NR⁶(CR⁶R⁶)_(t)R⁹, (h) —OR⁹, (i) —S(CR⁶R⁶)_(t)R⁹, (j) —S(O)(CR⁶R⁶)_(t)R⁹, (k) —S(O)₂(CR⁶R⁶)_(t)R⁹ (l) —C(O)(CR⁶R⁶)_(t)R⁹, (m) —OC(O)(CR⁶R⁶)_(t)R⁹, (n) OC(O)O(CR⁶R⁶)_(t)R⁹, (o) —SC(O)(CR⁶R⁶)_(t)R⁹, (p) —C(O)O(CR⁶R⁶)_(t)R⁹, (q) —NR⁶C(O)(CR⁶R⁶)_(t)R⁹, (r) —C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (s) —C(═NR⁶)(CR⁶R⁶)_(t)R⁹, (t) —C(═NNR⁶R⁶)(CR⁶R⁶)_(t)R⁹, (u) —C[═NNR⁶C(O)R⁶](CR⁶R⁶)_(t)R⁹, (v) —NR⁶C(O)O(CR⁶R⁶)_(t)R⁹, (w) —OC(O)NR⁶(CR⁶R⁶)_(t)R⁹, (x) —NR⁶C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (y) —NR⁶S(O)_(p)(CR⁶R⁶)_(t)R⁹, (z) —S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (aa) —NR⁶R⁶, (bb) —NR⁶(CR⁶R⁶)_(t)R⁹, (cc) —SR⁶, (dd) —S(O)R⁶, (ee) —S(O)₂R⁶, and (ff) —NR⁶C(O)R⁶; wherein (a)-(e) optionally are substituted with one or more R¹⁴ groups;

In further embodiments of the present invention, A is selected from (a) a C₁₋₆ alkyl group, (b) a C₂₋₆ alkenyl group, (c) a C₂₋₆ alkynyl group, (d) a C₃₋₁₂ saturated, unsaturated, or aromatic carbocycle, (e) a 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more nitrogen, oxygen or sulfur atoms; wherein (a)-(e) optionally are substituted with one or more R¹⁴ groups.

In further embodiments of the present invention, A is selected (a) —NR⁶(CR⁶R⁶)_(t)R⁹, (b) —OR⁹, (c) —S(CR⁶R⁶)_(t)R⁹, (d) —S(O)(CR⁶R⁶)_(t)R⁹, (e) —S(O)₂(CR⁶R⁶)_(t)R⁹ (f) —C(O)(CR⁶R⁶)_(t)R⁹, (g) —OC(O)(CR⁶R⁶)_(t)R⁹, (h) —OC(O)O(CR⁶R⁶)_(t)R⁹, (i) —SC(O)(CR⁶R⁶)_(t)R⁹, (j) —C(O)O(CR⁶R⁶)_(t)R⁹, (k) —NR⁶C(O)(CR⁶R⁶)_(t)R⁹, (l) —C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (m) —C(NR⁶)(CR⁶R⁶)_(t)R⁹, (n) —C(═NNR⁶R⁶)(CR⁶R⁶)_(t)R⁹, (o) —C[═NNR⁶C(O)R⁶](CR⁶R⁶)_(t)R⁹, (p) —NR⁶C(O)O(CR⁶R⁶)_(t)R⁹, (q) —OC(O)NR⁶(CR⁶R⁶)_(t)R⁹, (r) —NR⁶C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (s) —NR⁶S(O)_(p)(CR⁶R⁶)_(t)R⁹, (t) —S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (u) —NR⁶R⁶, (v) —NR⁶(CR⁶R⁶)_(t)R⁹, (w) —SR⁶, (x) —S(O)R⁶, (y) —S(O)₂R⁶, and (z) —NR⁶C(O)R⁶.

In further embodiments of the present invention, A is a C₁₋₆ alkyl group, optionally substituted with one or more R¹⁴ groups.

In further embodiments of the present invention, A is a C₂₋₆ alkenyl group, optionally substituted with one or more R¹⁴ groups.

In further embodiments of the present invention, A is a C₂₋₆ alkynyl group, optionally substituted with one or more R¹⁴ groups.

In further embodiments of the present invention, A is a C₃₋₁₂ saturated, unsaturated, or aromatic carbocycle, optionally are substituted with one or more R¹⁴ groups.

In further embodiments of the present invention, A is a 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more nitrogen, oxygen or sulfur atoms, optionally substituted with one or more R¹⁴ groups.

In further embodiments of the present invention, A is H.

In further embodiments of the present invention, A is —OH.

In further embodiments of the present invention, A is —SH.

In further embodiments of the present invention, A is F.

In further embodiments of the present invention, A is Cl.

In further embodiments of the present invention, A is Br.

In further embodiments of the present invention, A is I.

In further embodiments of the present invention, A is —CF₃.

In further embodiments of the present invention, A is —CN.

In further embodiments of the present invention, A is —N₃.

In further embodiments of the present invention, A is —NO₂.

In further embodiments of the present invention, A is —NR⁶(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —OR⁹.

In further embodiments of the present invention, A is —S(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention; A is —S(O)(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —S(O)₂(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —C(O)(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —OC(O)(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —OC(O)O(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —SC(O)(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —C(O)O(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —NR⁶C(O)(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —C(O)NR⁶(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —C(═NR⁶)(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —C(═NNR⁶R⁶)(CR⁶R⁶)_(t)R⁹,

In further embodiments of the present invention, A is —C[═NNR⁶C(O)R⁶](CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —NR⁶C(O)O(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —OC(O)NR⁶(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —NR⁶C(O)NR⁶(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —NR⁶S(O)_(p)(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —NR⁶R⁶.

In further embodiments of the present invention, A is —NR⁶(CR⁶R⁶)_(t)R⁹.

In further embodiments of the present invention, A is —SR⁶.

In further embodiments of the present invention, A is —S(O)R⁶.

In further embodiments of the present invention, A is —S(O)₂R⁶.

In further embodiments of the present invention, A is —NR⁶C(O)R⁶.

In further embodiments of the present invention, A is —Si(R¹³)₃.

In further embodiments of the present invention, A is and —C(═O)H.

In further embodiments of the present invention, R¹³ is selected from —CH₃ and —OCH₃.

In further embodiments of the present invention, R¹³ is —CH₃.

In further embodiments of the present invention, R¹³ is OCH₃.

In further embodiments, the invention provides a compound having the structure:

or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein R¹, R², R³, R¹¹, R¹⁵, n, A, and T, are, as described herein.

In further embodiments, the invention provides a compound having the structure:

or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein R¹, R², R³, R¹¹, R¹⁵, n, A, and T, are as described herein.

In further embodiments, the invention provides a compound having the structure:

or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein R¹, R², R³, R¹¹, n, A, and T, are as described herein.

In further embodiments of the present invention, T is

wherein:

-   -   M is selected from:         -   (a) —C((O)—, (b) —CH(—OR¹¹⁴), (c) —NR¹¹⁴—CH₂, (d)             —CH₂—NR¹¹⁴—, (e) —CH(NR¹¹⁴R¹¹⁴)—, (f) —C(═NNR¹¹⁴R¹¹⁴)—, (g)             —NR¹¹⁴—C(O)—, (h) —C(O)NR¹¹⁴—, (i) —C(═NR¹¹⁴)—, (j)             —CR¹¹⁵R¹¹⁵—, and (k) —C(═NOR¹²⁷)—;     -   R¹⁰⁰ is selected from (a) H, (b) F, (c) Cl, (d) Br, (e) —SR¹¹⁴,         and (f) C₁₋₆ alkyl, wherein (f) optionally is substituted with         one or more R¹¹⁵ groups;     -   R¹⁰¹ is selected from:         -   (a) H, (b) Cl, (c) F, (d) Br, (e) I, (f) —NR¹¹⁴R¹¹⁴, (g)             —NR¹¹⁴C(O)R¹¹⁴, (h) —OR¹¹⁴,         -   (i) —OC(O)R¹¹⁴, (j) —OC(O)OR¹¹⁴, (k) —OC(O)NR¹¹⁴R¹¹⁴, (l)             —O—C₁₋₆ alkyl,         -   (m) —OC(O)—C₁₋₆ alkyl, (n) —OC(O)O—C₁₋₆ alkyl, (o)             —OC(O)NR¹¹⁴—C₁₋₆ alkyl,         -   (p) C₁₋₆ alkyl, (q) C₁₋₆ alkenyl, and (r) C₁₋₆ alkynyl,         -   wherein any of (l)-(r) optionally is substituted with one or             more R¹¹⁵ groups;     -   R¹⁰² is H, (b) F, (c) Cl, (d) Br, (e) —SR¹ (f) C₁₋₄ alkyl,         wherein (f) optionally is substituted with one or more R¹¹⁵         groups;     -   R¹⁰³ is selected from:         -   (a) H, (b) —OR¹¹⁴, (c) —O—C₁₋₆ alkyl-R¹¹⁵, (d) —OC((O)R¹¹⁴,         -   (e) —OC(O)—C₁₋₆ alkyl-R¹¹⁵, (f) —OC(O)OR¹¹⁴, (g)             —OC(O)O—C₁₋₆ alkyl-R¹¹⁵,         -   (h) —OC(O)NR¹¹⁴R¹¹⁴, (i) —OC(O)NR¹¹⁴—C₁₋₆ alkyl-R¹¹⁵, and

-   -   alternatively, R¹⁰² and R¹⁰³ taken together with the carbon to         which they are attached form (a) a carbonyl group or (b) a 3-7         membered saturated, unsaturated or aromatic carbocyclic or         heterocyclic ring which can optionally be substituted with one         or more R¹¹⁴ groups;     -   alternatively, R¹⁰¹ and R¹⁰³ taken together are a single bond         between the respective carbons to which these two groups are         attached thereby creating a double bond between the carbons to         which R¹⁰⁰ and R¹⁰² are attached;     -   alternatively, R¹⁰¹ and R¹⁰³ taken together with the carbons to         which they are attached form a 3-membered saturated; unsaturated         or aromatic carbocyclic or heterocyclic ring which can         optionally be substituted with one or more R¹¹⁴ groups;     -   R¹⁰⁴ is selected from:         -   (a) H, (b) R¹¹⁴, (c) —C(O)R¹¹⁴ (d) —C(O)OR¹¹⁴ (e)             —C(O)NR¹¹⁴R¹¹⁴, (f) —C₁₋₆ alkyl-K—R¹¹⁴, (g) —C₂₋₆             alkenyl-K—R¹¹⁴, and (h) —C₂₋₆ alkynyl-K—R¹¹⁴;     -   K is selected from:         -   —C(O)—, (b) —C(O)O—, (c) —C(O)NR¹¹⁴—, (d) —C(═NR¹¹⁴)—, (e)             —C(═NR¹¹⁴)O—,         -   (f) —C(═NR¹¹⁴)NR¹¹⁴—, (g) —OC(O)—, (h) —OC(O)O—, (i)             —OC(O)NR¹¹⁴—,         -   (j) —NR¹¹⁴C(O)—, (k) —NR¹¹⁴C(O)O—, (l) —NR¹¹⁴C(O)NR¹¹⁴—,         -   (m) —NR¹¹⁴C(═NR¹¹⁴)NR¹¹⁴—, and (o) —S(O)_(p);     -   alternatively R¹⁰³ and R¹⁰⁴, taken together with the atoms to         which they are bonded, form:

wherein R¹³⁵ and R¹³⁶ are selected from (a) hydrogen, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆ alkynyl, (d) C₃₋₁₄ saturated, unsaturated or aromatic carbocycle, (e) 3-14 membered saturated, unsaturated or aromatic heterocycle containing one or more oxygen, nitrogen, or sulfur atoms, (f) F, (g) Br; (h) I, (i) OH, (j) —N₃, wherein (b) through (e) are optionally substituted with one or more R¹¹⁷; or alternatively, R¹³⁵ and R¹³⁶ are taken together to form ═O, ═S and ═NR¹¹⁴, ═NOR¹¹⁴, ═NR¹¹⁴, and ═N—NR¹¹⁴, R¹¹⁴],

wherein V is selected from (a) —(C₄-alkyl)-, (b) —(C₄-alkenyl)-, (c) O, (d) S, and (e) NR¹¹⁴, wherein (a) and (b) are optionally further substituted with one or more R¹¹⁷;

R¹⁰⁵ is selected from:

-   -   (a) R¹¹⁴, (b) —OR¹¹⁴, (c) —NR¹¹⁴R¹¹⁴, (d) —O—C₁₋₆         alkyl-R¹¹⁵, (e) —C(O)—R¹¹⁴,     -   (f) —C(O)—C₁₋₆ alkyl-R¹¹⁵, (g) —OC(O)—R¹¹⁴, (h) —OC(O)C₁₋₆         alkyl-R¹¹⁵,     -   (i) —OC(O)O—R¹¹⁴, (j) —OC(O)O—C₁₋₆ alkyl-R¹¹⁵, (k)         —OC(O)NR¹¹⁴R¹¹⁴,     -   (l) —OC(O)NR¹¹⁴—C₁₋₆ alkyl-R¹¹⁵, (m) —C(O)—C₂₋₆ alkenyl-R¹¹⁵,         and     -   (n) —C(O)—C₂₋₆ alkynyl-R¹¹⁵;

alternatively, R¹⁰⁴ and R¹⁰⁵, taken together with the atoms to which they are bonded, form

-   -   wherein         -   Q is CH or N, and R¹²⁶ is —OR¹¹⁴, —NR¹¹⁴ or R¹¹⁴;

alternatively, R¹⁰⁴ and R¹⁰⁵, taken together with the atoms to which they are bonded, form:

-   -   wherein         -   i) R¹⁰¹ is as defined above;         -   ii) alternately, R¹⁰¹ and R¹⁰⁹ can be taken together with             the carbon to which they are attached to form a carbonyl             group;         -   iii) alternately, R¹⁰¹ and R¹⁰⁹ can be taken together to             form the group —O(CR¹¹⁶R¹¹⁶)_(u)O—;

alternatively, R¹⁰⁴ and R¹⁰⁵, taken together with the atoms to which they are bonded, form:

wherein in the preceding structure the dotted line indicates an optional double bond

-   -   i) R¹³⁰ is —OH, ═C(O), or R¹¹⁴,     -   ii) R¹³¹ is —OH, ═C(O), or R¹¹⁴,     -   iii) alternately, R¹³⁰ and R¹³¹ together with the carbons to         which they are attached form a 3-7 membered saturated,         unsaturated or aromatic carbocyclic or heterocyclic ring which         can optionally be substituted with one or more R¹¹⁴ groups;     -   iv) alternatively, R¹³⁰ and the carbon to which it is attached         or R¹³¹ and the carbon to which it is attached are each         independently —C(═O)—,

alternatively, R¹⁰⁵, R¹³² and M, taken together with the atoms to which they are attached, form:

R¹⁰⁶ is selected from:

-   -   (a) —OR¹¹⁴, (b) —C₁₋₆ alkoxy-R¹¹⁵, (c) —C(O)R¹¹⁴, (d)         —OC(O)R¹¹⁴, (e) —OC(O)OR¹¹⁴, (f) —NR¹¹⁴R¹¹⁴, and (g) —NR¹¹⁴R¹¹⁴,

alternatively, R¹⁰⁵ and R¹⁰⁶ taken together with the atoms to which they are attached form a 5-membered ring by attachment to each other through a chemical moiety selected from:

-   -   (a) —OC(R¹¹⁵)₂O—, (b) —OC(O)O—, (c) —OC(O)NR¹¹⁴—, (d)         —NR¹¹⁴C(O)O—, (e) —OC(O)NOR¹¹⁴—, (f) —NOR¹¹⁴—C(O)O—, (g)         —OC(O)NNR¹¹⁴R¹¹⁴—, (h) —NNR¹¹⁴R¹¹⁴—C(O)O—, (i)         —OC(O)C(R¹¹⁵)₂—, (j) —C(R¹¹⁵)₂C(O)O—, (k) —OC(S)O—, (l)         —OC((S)NR¹¹⁴—, (m) —NR¹¹⁴C(S)O—, (n) —OC(S)NOR¹¹⁴—, (o)         —NOR¹¹⁴—C(S)O—, (p) —OC(S)NNR¹¹⁴R¹¹⁴—, (q)         —NNR¹¹⁴R¹¹⁴—C(S)O—, (r) —OC(S)C(R¹¹⁵)₂, and (s) —C(R¹¹⁵)₂C(S)O—;         alternatively, R¹⁰⁵, R¹⁰⁶, and R¹³³ taken together with the         atoms to which they are attached form:

alternatively, M, R¹⁰⁵, and R¹⁰⁶ taken together with the atoms to which they are attached form:

-   -   wherein in the preceding structure the dotted line indicates an         optional double bond,

-   -   or

-   wherein J¹ and J² are selected from hydrogen, Cl, F, Br, I, OH,     —C₁₋₆ alkyl, and —O(C₁₋₆ alkyl) or are taken together to form ═O, ═S     and ═NR¹¹⁴, ═NOR¹¹⁴, ═NR¹¹⁴, and ═N—NR¹¹⁴, R¹¹⁴; -   alternatively, M and R¹⁰⁴ taken together with the atoms to which     they are attached form:

wherein U is selected from (a) —(C₄-alkyl)- and (b) —(C₄-alkenyl)-, wherein (a) and (b) are optionally further substituted with one or more R¹¹⁷;

alternatively, M and R¹⁰⁵ are taken together with the atoms to which they are attached to form:

R¹⁰⁷ is selected from

-   -   (a) H, (b) —C₁₋₄ alkyl, (c) —C₂₋₄ alkenyl, which can be further         substituted with C₁₋₁₂ alkyl or one or more halogens, (d) —C₂₋₄         alkynyl, which can be further substituted with C₁₋₁₂ alkyl or         one or more halogens, (e) aryl or heteroaryl, which can be         further substituted with C₁₋₁₂ alkyl or one or more         halogens, (f) —C(O)H, (g) —COOH, (h) —CN, (i) —COOR¹¹⁴, (j)         —C(O)NR¹¹⁴R¹¹⁴, (f) —C(O)R¹¹⁴, and (l) —C(O)SR¹¹⁴, wherein (b)         is further substituted with one or more substituents selected         from (aa) —OR¹¹⁴, (bb) halogen, (cc) —SR¹¹⁴, (dd) —C₁₋₁₂ alkyl,         which can be further substituted with halogen, hydroxyl, C₁₋₆         alkoxy, or amino, (ee) —OR¹¹⁴, (ff) —SR¹¹⁴, (gg) —NR¹¹⁴R¹¹⁴,         (hh) —CN, (ii) —NO₂, (jj) —NC(O)R¹¹⁴, (kk) —COOR¹¹⁴, (ll)         —N₃, (mm) ═N—O—R¹¹⁴, (nn) ═NR¹¹⁴, (oo) ═N—NR¹¹⁴R¹¹⁴, (pp)         ═N—NH—C(O)R¹¹⁴, and (qq) ═N—NH—C(O)NR¹¹⁴R¹¹⁴;

alternatively R¹⁰⁶ and R¹⁰⁷ are taken together with the atom to which they are attached to form an epoxide, a carbonyl, an olefin, or a substituted olefin, or a C₃-C₇ carbocyclic, carbonate, or carbamate, wherein the nitrogen of said carbamate can be further substituted with a C₁-C₆ alkyl;

R¹⁰⁸ is selected from:

-   -   (a) C₁₋₆ alkyl, (b) C₂₋₆ alkenyl, and (c) C₂₋₆ alkynyl,         -   wherein any of (a)-(c) optionally is substituted with one or             more R¹¹⁴ groups;

R¹¹¹ is selected from H and —C(O)R¹¹⁴;

R¹¹² is selected from H, OH, and OR¹¹⁴;

R¹¹³ is selected from:

-   -   (a) H, (b) R¹¹⁴, (c) —C₁₋₆ alkyl-K—R¹¹⁴, (d) —C₂₋₆         alkenyl-K—R¹¹⁴, and (e) —C₂₋₆ alkynyl-K—R¹¹⁴,         -   wherein any of (c)-(e) optionally is substituted with one or             more R¹¹⁵ groups;

R¹¹⁴, at each occurrence, independently is selected from:

-   -   (a) H, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆ alkynyl, (e)         C₆₋₁₀ saturated, unsaturated, or aromatic carbocycle, (f) 3-12         membered saturated, unsaturated, or aromatic heterocycle         containing one or more heteroatoms selected from nitrogen,         oxygen, and sulfur, (g) —C(O)—C₁₋₆ alkyl, (h) —C(O)—C₂₋₆         alkenyl, (i) —C(O)—C₂₋₆ alkynyl, (j) —C(O)—C₆₋₁₀ saturated,         unsaturated, or aromatic carbocycle, (k) —C(O)-3-12 membered         saturated, unsaturated, or aromatic heterocycle containing one         or more heteroatoms selected from nitrogen, oxygen, and         sulfur, (l) —C(O)O—C₁₋₆ alkyl, (m) —C(O)O—C₂₋₆ alkenyl, (n)         —C(O)O—C₂₋₆ alkynyl, (o) —C(O)O—C₆₋₁₀ saturated, unsaturated, or         aromatic carbocycle, (p) —C(O)O-3-12 membered saturated,         unsaturated, or aromatic heterocycle containing one or more         heteroatoms selected from nitrogen, oxygen, and sulfur, (q)         —C(O)NR¹¹⁶R¹¹⁶, (r) —NR¹¹⁶CO—C2-6 alkyl, (a) —NR¹¹⁶CO—C₆₋₁₀         saturated, unsaturated, or aromatic carbocycle, and (t)         —NR¹¹⁶C(O)-3-12 membered saturated, unsaturated, or aromatic         heterocycle containing one or more heteroatoms selected from         nitrogen, oxygen, and sulfur         -   wherein any of (b)-(t) optionally is substituted with one or             more R¹¹⁵ groups, wherein one or more non-terminal carbon             moieties of any of (b)-(d) optionally is replaced with             oxygen, S(O)_(p), or —NR¹¹⁶.

alternatively, NR¹¹⁴R¹¹⁴ forms a 3-7 membered saturated, unsaturated or aromatic ring including the nitrogen atom to which the R¹¹⁴ groups are bonded and optionally one or more moieties selected from O, S(O)_(p), N, and NR¹¹⁸;

R¹¹⁵ is selected from:

-   -   (a) R¹¹⁷, (b) C₁₋₈ alkyl, (c) C₂₋₈ alkenyl, (d) C₂₋₈         alkynyl, (e) C₃₋₁₂ saturated, unsaturated, or aromatic         carbocycle, (f) 3-12 membered saturated, unsaturated, or         aromatic heterocycle containing one or more heteroatoms selected         from nitrogen, oxygen, and sulfur,         -   wherein any of (b)-(f) optionally is substituted with one or             more R¹¹⁷ groups;

R¹¹⁶, at each occurrence, independently is selected from:

-   -   (a) H, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆ alkynyl, (e)         C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (f)         3-10 membered saturated, unsaturated, or aromatic heterocycle         containing one or more heteroatoms selected from nitrogen,         oxygen, and sulfur,         -   wherein one or more non-terminal carbon moieties of any of             (b)-(d) optionally is replaced with oxygen, S(O)_(p), or             —NR¹¹⁴, wherein any of (b)-(f) optionally is substituted             with one or more moieties selected from:             -   (aa) carbonyl, (bb) formyl, (cc) F, (dd) Cl, (ee) Br,                 (ff) I, (gg) CN, (hh) N₃, (ii) NO₂, (jj) OR¹¹⁸, (kk)                 —S(O)_(p)R¹¹⁸, (ll) —C(O)R¹¹⁸, (mm) —C(O)OR¹¹⁸, (nn)                 —OC(O)R¹¹⁸, (oo) —C(O)NR¹¹⁸R¹¹⁸, (pp) —OC(O)NR¹¹⁸R¹¹⁸,                 (qq) —C(═NR¹¹⁸)R¹¹⁸, (rr) —C(R¹¹⁸)(R¹¹⁸)OR¹¹⁸, (ss)                 —C(R¹¹⁸)₂OC(O)R¹¹⁸, (tt)                 —C(R¹¹⁸)(OR¹¹⁸)(CH₂)_(r)NR¹¹⁸R¹¹⁸, (uu) —NR¹¹⁸R¹¹⁸; (vv)                 —NR¹¹⁸OR¹¹⁸, (ww) —NR¹¹⁸C(O)R¹¹⁸, (xx) —NR¹¹⁸C(O)OR¹¹⁸,                 (yy) —NR¹¹⁸C(O)NR¹¹⁸R¹¹⁸, (zz) —NR¹¹⁸S(O)_(r)R¹¹⁸, (ab)                 —C(OR¹¹⁸)(OR¹¹⁸)R¹¹⁸, (ac) —C(R¹¹⁸)₂NR¹¹⁸R¹¹⁸, (ad)                 ═NR¹¹⁸, (ae) —C(S)NR¹¹⁸R¹¹⁸, (af) —NR¹¹⁸C(S)R¹¹⁸, (ag)                 —OC(S)NR¹¹⁸R¹¹⁸, (ah) —NR¹¹⁸C(S)OR¹¹⁸, (ai)                 —NR¹¹⁸C(S)NR¹¹⁸R¹¹⁸, (aj) —SC(O)R¹¹⁸, (ak) C₁₋₈ alkyl,                 (al) C₂₋₈ alkenyl, (am) C₂₋₈ alkynyl, (an) C₁₋₈ alkoxy,                 (ao) C₁₋₈ alkylthio, (ap) C₁₋₈ acyl, (aq) saturated,                 unsaturated, or aromatic C₃₋₁₀ carbocycle, and (ar)                 saturated, unsaturated, or aromatic 3-10 membered                 heterocycle containing one or more heteroatoms selected                 from nitrogen, oxygen, and sulfur,

alternatively, NR¹¹⁶R¹¹⁶ forms a 3-10 membered saturated, unsaturated or aromatic ring including the nitrogen atom to which the R¹¹⁶ groups are attached and optionally one or more moieties selected from O, S(O)_(p), N, and NR¹¹⁸;

alternatively, CR¹¹⁶R¹¹⁶ forms a carbonyl group;

R¹¹⁷, at each occurrence, is selected from:

-   -   (a) H, (b) ═O, (c) F, (d) Cl, (e) Br, (f) I, (g)         (CR¹¹⁶R¹¹⁶)_(r)CF₃, (h) (CR¹¹⁶R¹¹⁶)_(r)CN, (i)         (CR¹¹⁶R¹¹⁶)_(r)NO₂,     -   (j) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (k)         (CR¹¹⁶R¹¹⁶)_(r)OR¹¹⁹, (l)         (CR¹¹⁶R¹¹⁶)_(r)S(O)_(p)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (m)         (CR¹¹⁶R¹¹⁶)_(r)C(O)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (n)         (CR¹¹⁶R¹¹¹⁶)_(r)OC(O)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (o) (CR¹¹⁶R¹¹⁶)_(r)SC(O)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (p) (CR¹¹⁶R¹¹⁶)_(r)C(O)O(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (q)         (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (r)         (CR¹¹⁶R¹¹⁶)_(r)C(O)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (s)         (CR¹¹⁶R¹¹⁶)_(r)C(═NNR¹¹⁶R¹¹⁶)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (t) (CR¹¹⁶R¹¹⁶)_(r)C(═NNR¹¹⁶R¹¹⁶)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (u) (CR¹¹⁶R¹¹⁶)_(r)C(═NNR¹¹⁶C(O)R¹¹⁶)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (v) (CR¹¹⁶R¹¹⁶)_(r)C(═NOR¹¹⁹)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (w) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)O(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (x) (CR¹¹⁶R¹¹⁶)_(r)OC(O)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (y) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (z) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶S(O)_(p)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (aa) (CR¹¹⁶R¹¹⁶)_(r)S(O)_(p)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (bb) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶S(O)_(p)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹,     -   (cc) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶R¹¹⁶, (dd) C₁₋₆ alkyl, (ee) C₂₋₆         alkenyl,     -   (ff) C₂₋₆ alkynyl, (gg) (CR¹¹⁶R¹¹⁶)_(r)—C₃₋₁₀ saturated,         unsaturated, or aromatic carbo cycle, and (hh)         (CR¹¹⁶R¹¹⁶)_(r)-3-10 membered saturated, unsaturated, or         aromatic heterocycle containing one or more heteroatoms selected         from nitrogen, oxygen, and sulfur,         -   wherein any of (dd)-(hh) optionally is substituted with one             or more R¹¹⁹ groups;

alternatively, two R¹¹⁷ groups can form —O(CH₂)_(u)O—;

R¹¹⁸ is selected from:

-   -   (a) B, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆ alkynyl, (e)         C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, (1) 3-10         membered saturated, unsaturated, or aromatic heterocycle         containing one or more heteroatoms selected from nitrogen,         oxygen, and sulfur, (g) —C(O)—C₁₋₆ alkyl, (h) —C(O)—C₁₋₆         alkenyl, (g) —C(O)—C₁₋₆ alkynyl, (i) —C(O)—C₃₋₁₀ saturated,         unsaturated, or aromatic carbocycle, and (j) —C(O)-3-10 membered         saturated, unsaturated, or aromatic heterocycle containing one         or more heteroatoms selected from nitrogen, oxygen, and sulfur,         -   wherein any of (b)-(j) optionally is substituted with one or             more moieties selected from: (aa) H, (bb) F, (cc) Cl, (dd)             Br, (ee) I, (ff) CN, (gg) NO₂, (hh) OH, (ii) NH₂, (jj)             NH(C₁₋₆ alky(l), (kk) N(C₁₋₆ alky(l)₂, (ll) C₁₋₆             alkoxy, (mm) aryl, (nn) substituted aryl, (oo) heteroaryl,             (pp) substituted heteroaryl, and (qq) C₁₋₆ alkyl, optionally             substituted with one or more moieties selected from aryl,             substituted aryl, heteroaryl, substituted heteroaryl, F, Cl,             Br, I, CN, NO₂, and OH;

R¹¹⁹, at each occurrence, independently is selected from:

-   -   (a) R¹²⁰, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆         alkynyl, (e) C₃₋₁₀ saturated, unsaturated, or aromatic         carbocycle, and (f) 3-10 membered saturated, unsaturated, or         aromatic heterocycle containing one or more heteroatoms selected         from nitrogen, oxygen, and sulfur,         -   wherein any of (b)-(f) optionally is substituted with one or             more R¹¹⁹ groups;

R¹²⁰, at each occurrence, independently is selected from:

-   -   (a) H, (b) ═O, (c) F, (d) Cl, (e) Br, (f) I, (g)         (CR¹¹⁶R¹¹⁶)_(r)CF₃, (h) (CR¹¹⁶R¹¹⁶)_(r)CN, (i)         (CR¹¹⁶R¹¹⁶)_(r)NO₂, (j) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶R¹¹⁶, (k)         (CR¹¹⁶R¹¹⁶)_(r)OR¹¹⁴, (l) (CR¹¹⁶R¹¹⁶)_(r)S(O)_(p)R¹¹⁶, (m)         (CR¹¹⁶R¹¹⁶)_(r)C(O)R¹¹⁶, (n) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)OR¹¹⁶, (o)         (CR¹¹⁶R¹¹⁶)_(r)OC(O)R¹¹⁶, (p) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)R¹¹⁶, (q)         (CR¹¹⁶R¹¹⁶)_(r)C(O)NR¹¹⁶R¹¹⁶, (r)         (CR¹¹⁶R¹¹⁶)_(r)C(═NR¹¹⁶)R¹¹⁶, (s)         (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)NR¹¹⁶R¹¹⁶, (t)         (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶S(O)_(p)R¹¹⁶, (u)         (CR¹¹⁶R¹¹⁶)_(r)S(O)_(p)NR¹¹⁶R¹¹⁶, (v)         (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶S(O)_(p)NR¹¹⁶R¹¹⁶, (w) C₁₋₆ alkyl, (x) C₂₋₆         alkenyl, (y) C₂₋₆ alkynyl, (z) (CR¹¹⁶R¹¹⁶)_(r)—C₃₋₁₀ saturated,         unsaturated, or aromatic carbocycle, and (aa)         (CR¹¹⁶R¹¹⁶)_(r)-3-10 membered saturated, unsaturated, or         aromatic heterocycle containing one or more heteroatoms selected         from nitrogen, oxygen, and sulfur,         -   wherein any of (w)-(aa) optionally is substituted with one             or more moieties selected from R¹¹⁶, F, Cl, Br, I, CN, NO₂,             —OR¹¹⁶, —NH₂, —NH(C₁₋₆ alkyl), —N(C₁₋₆ alkyl)₂, C₁₋₆ alkoxy,             C₁₋₆ alkylthio, and C₁₋₆ acyl;

R¹²¹, at each occurrence, independently is selected from:

-   -   (a) H, (b) —OR¹¹⁸, (c) —O—C₁₋₆ alkyl-OC(O)R¹¹⁸, (d) —O—C₁₋₆         alkyl-OC(O)OR¹¹⁸, (e) —O—C₁₋₆ alkyl-OC(O)NR¹¹⁸R¹¹⁸, (f) —O—O₁₋₆         alkyl-C(O)NR¹¹⁸R¹¹⁸, (g) —O—C₁₋₆ alkyl-NR¹¹⁸C(O)R¹¹⁸, (h)         —O—C₁₋₆ alkyl-NR¹¹⁸C(O)OR¹¹⁸, (i) —O—C₁₋₆         alkyl-NR¹¹⁸C(O)NR¹¹⁸R¹¹⁸, (j) —O—C₁₋₆         alkyl-NR¹¹⁸C(═N(H)NR¹¹⁸R¹¹⁸, (k) —O—C₁₋₆ alkyl-S(O)_(p)R¹¹⁸, (l)         —O—C₂₋₆ alkenyl-OC(O)R¹¹⁸, (m) —O—C₂₋₆ alkenyl-OC(O)OR¹¹⁸, (n)         —O—C₂₋₆ alkenyl-OC(O)NR¹¹⁸R¹¹⁸, (o) —O—C₂₋₆         alkenyl-C(O)NR¹¹⁸R¹¹⁸, (p) —O—C₂₋₆ alkenyl-NR¹¹⁸C(O)R¹¹⁸, (q)         —O—C₂₋₆ alkenyl-NR¹¹⁸C(O)OR¹¹⁸, (r) —O—C₂₋₆         alkenyl-NR¹¹⁸C(O)NR¹¹⁸R¹¹⁸, (s) —O—C₂₋₆         alkenyl-NR¹¹⁸C(═N(H)NR¹¹⁸R¹¹⁸, (t) —O—O₂₋₆ alkenyl-S(O)_(p)R¹¹⁸,     -   (u) —O—C₂₋₆ alkynyl-OC(O)R¹¹⁸, (v) —O—C₂₋₆         alkynyl-OC(O)OR¹¹⁸, (w) —O—C₂₋₆ alkynyl-OC(O)NR¹¹⁸R¹¹⁸, (x)         —O—C₂₋₆ alkynyl-C(O)NR¹¹⁸R¹¹⁸, (y) —O—C₂₋₆         alkynyl-NR¹¹⁸C(O)R¹¹⁸, (z) —O—C₂₋₆ alkynyl-NR¹¹⁸C(O)OR¹¹⁸, (aa)         —O—C₂₋₆ alkynyl-NR¹¹⁸C(O)NR¹¹⁸R¹¹⁸,     -   (bb) —O—C₂₋₆ alkynyl-NR¹¹⁸C(═N(H)NR¹¹⁸R¹¹⁸, (cc) —O—C₂₋₆         alkynyl-S(O)_(p)R¹¹⁸; and (dd) —NR¹¹⁸R¹¹⁸;

alternatively, two R¹²¹ groups taken together form ═O, ═NOR¹¹⁸, or ═NNR¹¹⁸R¹¹⁸;

R¹²² is R¹¹⁵;

R¹²³ is selected from:

-   -   (a) R¹¹⁶, (b) F, (c) Cl, (d) Br, (e) I, (f) CN, (g) NO₂, and (h)         —OR¹¹⁴;

alternatively, R¹²² and R¹²³ taken together are —O(CH₂)_(u)O—;

R¹²⁴, at each occurrence, independently is selected from:

-   -   (a) H, (b) F, (c) Cl, (d) Br, (e) I, (f) CN, (g) —OR¹¹⁴, (h)         —NO₂, (i) —NR¹¹⁴R¹¹⁴, (j) C₁₋₆ alkyl, (k) C₁₋₆ acyl, and (l)         C₁₋₆ alkoxy;

R¹²⁵ is selected from:

-   -   (a) C₁₋₆ alkyl, (b) C₂₋₆ alkenyl, (c) C₂₋₆ alkynyl, (d) C₁₋₆         acyl, (e) C₁₋₆ alkoxy, (f) C₁₋₆ alkylthio, (g) saturated,         unsaturated, or aromatic C₅₋₁₀ carbocycle, (h) saturated,         unsaturated, or aromatic 5-10 membered heterocycle containing         one or more heteroatoms selected from nitrogen, oxygen, and         sulfur, (i) —O—C₁₋₆ alkyl-saturated, unsaturated, or aromatic         5-10 membered heterocycle containing one or more heteroatoms         selected from nitrogen, oxygen, and sulfur, (j) —NR¹¹⁴—C₁₋₆         alkyl-saturated, unsaturated, or aromatic 5-10 membered         heterocycle containing one or more heteroatoms selected from         nitrogen, oxygen, and sulfur,     -   (k) saturated, unsaturated, or aromatic 10 membered bicyclic         ring system optionally containing one or more heteroatoms         selected from nitrogen, oxygen, and sulfur, (l) saturated,         unsaturated, or aromatic 13-membered tricyclic ring system         optionally containing one or more heteroatoms selected from         nitrogen, oxygen, and sulfur, (m) —OR¹¹⁴,     -   (n) —NR¹¹⁴R¹¹⁴, (o) —S(O)_(p)R¹¹⁴, and (p) —R¹²⁴,         -   wherein any of (a)-(l) optionally is substituted with one or             more R¹¹⁵ groups;

alternatively, R¹²⁵ and one R¹²⁴ group, taken together with the atoms to which they are bonded, form a 5-7 membered saturated or unsaturated carbocycle, optionally substituted with one or more R¹¹⁵ groups; or a 5-7 membered saturated or unsaturated heterocycle containing one or more atoms selected from nitrogen, oxygen, and sulfur, and optionally substituted with one or more R¹¹⁵ groups;

R¹²⁶ at each occurrence, independently is selected from:

-   -   (a) hydrogen, (b) an electron-withdrawing group, (c) aryl, (d)         substituted aryl, (e) heteroaryl, (f) substituted heteroaryl,         and (g) C₁₋₆ alkyl, optionally substituted with one or more R¹¹⁵         groups;

alternatively, any R¹²⁶ and any R¹²³, taken together with the atoms to which they are bonded, form a 5-7 membered saturated or unsaturated carbocycle, optionally substituted with one or more R¹¹⁵ groups; or a 5-7 membered saturated or unsaturated heterocycle containing one or more atoms selected from nitrogen, oxygen, and sulfur, and optionally substituted with one or more R¹¹⁵ groups;

-   -   R¹⁰⁹ is H or F;     -   R¹²⁷ is R¹¹⁴, a monosaccharide or disaccharide (including amino         sugars and halo sugar(s),         —(CH₂)_(n)—(O—CH₂CH₂—)_(m)—O(CH₂)_(p)CH₃ or         —(CH₂)_(n)—(O—CH₂CH₂—)_(m)—OH     -   R¹²⁸ is R¹¹⁴;     -   R¹²⁹ is R¹¹⁴;     -   R¹¹⁰ is R¹¹⁴;     -   Alternatively, R¹⁰⁹ and R¹¹⁰ taken together with the carbons to         which they are attached form:

-   -   Alternately, R¹²⁸ and R¹²⁹ together with the carbons to which         they are attached form a 3-6 membered saturated, unsaturated or         aromatic carbocyclic or heterocyclic ring which can optionally         be substituted with one or more R¹¹⁴ groups;     -   R¹³², R¹³³, and R¹³⁴ are each independently selected from (a)         H, (b) F, (c) Cl, (d) Br, (e) —OR¹¹⁴, (f) —SR¹¹⁴, (g)         —NR¹¹⁴R¹¹⁴, and (h) C₁₋₆ alkyl, wherein (h) optionally is         substituted with one or more R¹¹⁵ groups;     -   alternatively, R¹³² and R¹³³ are taken together to form a         carbon-carbon double;     -   alternatively, R¹³³ and R¹³⁴ are taken together to form ═O, ═S,         ═NOR¹¹⁴, ═NR¹¹⁴, and ═N—NR¹¹⁴, R¹¹⁴;     -   alternatively, R¹⁰⁵ and R¹³⁴ are taken together with the carbons         to which they are attached to form a 3-membered ring, said ring         optionally containing an oxygen or nitrogen atom, and said ring         being optionally substituted with one or more R¹¹⁴ groups;     -   alternatively when M is a carbon moiety, R¹³⁴ and M are taken         together to form a carbon carbon double bond;     -   k, at each occurrence is 0, 1, or 2;     -   m, at each occurrence is 0, 1, 2, 3, 4, or 5;     -   n, at each occurrence is 1, 2, or 3.

In further embodiments of the present invention, T is selected from:

-   wherein M, R¹⁰⁰, R¹⁰¹, R¹⁰⁴, R¹⁰⁵, R¹⁰⁶, R¹⁰⁷, R¹⁰⁸, R¹⁰⁹, R¹¹⁰, and     R¹²⁰ are as described above and where the dotted lines indicate     optional double bonds.

In further embodiments of the present invention, T is selected from:

wherein M, R¹⁰⁰, R¹⁰¹, R¹⁰², R¹⁰⁴, R¹⁰⁹, R¹¹⁴, R¹²⁶ and R¹²⁷ are as described above.

In further embodiments of the present invention, T is selected from:

-   -   wherein M, R¹, R², R¹⁰⁴, R¹¹⁴, R¹⁰⁹ and R¹²⁷ are as described         above.

In further embodiments of the present invention T is selected from T1 through T33:

In the present invention, the macrolide, “T” is defined to include various 14- and 15-membered ring systems, which can contain one or more heteroatoms. Also, as defined herein, the macrolide, “T” is connected via a macrocyclic ring carbon atom”, which means that the connection or bond is made to a carbon atom on the 14- or 15-membered ring of the macrolide moiety. The macrolide can include further substituents, including ring substituents. For example, the substituent designated as R¹⁰³ can in certain embodiments be a sugar moiety, e.g. a cladinose sugar, or the substituents such as R¹⁰⁴ and R¹⁰⁵ are taken together in certain embodiments to form a bridged bicyclic ring system with the macrolide ring, or the substituents R¹⁰⁵ and R¹⁰⁶, are taken together in certain embodiments to form a fused bicyclic ring system with the macrolide ring, or the substituents or components M, R¹⁰⁵, and R¹⁰⁶ are taken together to form a fused tricyclic ring system with the macrolide ring, etc. It is also recognized in the present invention that “T” is depicted as being connected to a 6-membered ring, for example in certain embodiments a desosamine sugar ring.

As is seen from the foregoing, the macrolide component of the compounds of the present invention can comprise a wide range of structures. Examples of such macrolide components and their syntheses are provided in the following documents, all of which are incorporated by reference in their entirety: PCT application No. WO 2005/118610, published Dec. 15, 2005; to Rib-X Pharmaceuticals, Inc.; PCT application No. WO 2005/085266, published Sep. 15, 2005, to Rib-X Pharmaceuticals, Inc.; PCT application No. WO 20051049632, published Jun. 2, 2005, to Rib-X Pharmaceuticals, Inc.; PCT application No. WO 2005/042554, published May 12, 2005, to Rib-X Pharmaceuticals, Inc.; PCT application No. WO 2004/078770, published Sep. 16, 2004, to Rib-X Pharmaceuticals, Inc.; PCT application No, WO 2004/029066, published Apr. 8, 2004, to Rib-X Pharmaceuticals, Inc.; U.S. Pat. No. 6,992,069, to Gu et al., issued Jan. 31, 2006; U.S. Pat. No. 6,953,782, to Phan et al., issued Oct. 1, 2005; U.S. Pat. No. 6,939,861, to Ashley at al., issued Sep. 6, 2005; U.S. Pat. No. 6,927,057, to Khosla et al., issued Aug. 9, 2005; U.S. Pat. No. 6,794,366, to Chu at al., issued Sep. 21, 2004; U.S. Pat. No. 6,762,168, to Chu, issued Jul. 13, 2004; U.S. Pat. No. 6,756,359, to Chu et al, issued Jun. 29, 2994; U.S. Pat. No. 6,750,205, to Ashley et al, issued Jun. 15, 2004; U.S. Pat. No. 6,740,642, to Angehm et al., issued May 25, 2004; U.S. Pat. No. 6,727,352, to Cheng et al., issued Apr. 27, 2004; U.S. Patent Application Publication No. US 2006/0154881, to Or et al., published Jul. 13, 2006; U.S. Patent Application Publication No. US 2006/0142215, to Tang et al., published Jun. 29, 2006; U.S. Patent Application Publication No. US 2006/0142214, to Or et al, published Jun. 29, 2006; U.S. Patent Application Publication No. US 2006/0122128, to Or et al., published Jun. 8, 2006; U.S. Patent Application Publication No. US 2006/0069048, to Or et al. published Mar. 30, 2006; U.S. Patent Application Publication No. US 2005/0272672, to Li at al., published Dec. 8, 2005; U.S. Patent Application Publication No US 2005/0009764, to Burger et al, published Jan. 13, 2005; PCT application No. WO 2006/067589, to Pfizer Products Inc., published Jun. 29, 2006; PCT application No. WO 2004/096823, to Chiron Corporation, published Nov. 11, 2004; PCT application No. WO 2004/096822, to Chiron Corporation, published Nov. 11, 2004; PCT application No. WO 2004/080391, to Optimer Pharmaceuticals, Inc., published Sep. 23, 2004; PCT application No. WO 2004/078771, to Taisho Pharmaceutical Ca, Ltd., published Sep. 16, 2004; PCT application no. WO 03/061671, to Kosan Biosciences, Inc. published. Jul. 31, 2003; and European Patent Document EP 1 256 587 B1, to the Kitasato Institute, granted Mar. 29, 2006.

The invention also provides a compound having the structure corresponding to any one of the structures listed in Table 1, 1A or 1C, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof.

The invention also provides a pharmaceutical composition that contains one or more of the compounds described above and a pharmaceutically acceptable carrier.

The invention also provides a method for treating or preventing a disease state in a mammal by administering to a mammal in need thereof an effective amount of one or more of the compounds described above.

The invention also provides a method of treating a microbial infection in a mammal by administering to the mammal an effective amount of one or more of the compounds described above.

The invention also provides a method of treating a fungal infection in a mammal by administering to the mammal an effective amount of one or more of the compounds described above.

The invention also provides a method of treating a parasitic disease in a mammal by administering to the mammal an effective amount of one or more of the compounds described above.

The invention also provides a method of treating a proliferative disease in a mammal by administering to the mammal an effective amount of one or more of the compounds described above.

The invention also provides a method of treating a viral infection in a mammal by administering to the mammal an effective amount of one or more of the compounds described above.

The invention also provides a method of treating an inflammatory disease in a mammal by administering to the mammal an effective amount of one or more of the compounds described above.

The invention also provides a method of treating a gastrointestinal motility disorder in a mammal by administering to the mammal an effective amount of one or more of the compounds described above.

The invention also provides a method of treating or preventing a disease state in a mammal caused or mediated by a nonsense or missense mutation by administering to the mammal an effective amount of one or more of the compounds described above to suppress expression of the nonsense or missense mutation.

In the methods described herein, the compound or compounds are administered orally, parentally, or topically.

The invention also provides a method of synthesizing the compounds described above.

The invention also provides a medical device containing one or more of the compounds described above. For example, the device is a stent.

3. SYNTHESIS OF THE COMPOUNDS OF THE INVENTION

The invention provides methods for making the compounds of the invention. The following schemes depict exemplary chemistries available for synthesizing the compounds of the invention.

Scheme 1 illustrates the synthesis of triazole compounds of type 5 and 6. Erythromycin can be N-demethylated as described in the art (U.S. Pat. No. 3,725,385; Flynn et al. (1954) J. AM. CHEM. SOC. 76: 3121; Ku et al. (1997) BIOORG. MED. CHEM. LETT. 7: 1203; Stenmark et al. (2000) J. ORG. CHEM. 65: 3875) to afford secondary amine 1. Alkylation of 1 with electrophiles of type 2 yields alkynes of type 3 containing an alkyl chain of appropriate length, generally between one and about four carbon atoms between the nitrogen atom and the alkyne group. Cycloaddition of azides of type 4 with alkynes 3 generates two regioisomeric triazole products. The reaction can be thermally catalyzed, or a number of catalysts could be added to facilitate the reaction (such as, but not limited to, copper (I) iodide: see Tomoe, C. W. et al. (2002) J. ORG. CHEM. 67: 3057). The major isomer (for steric reasons) is the “anti” isomer 5, a 1,4 disubstituted triazole. The minor component is the “syn” isomer 6, a 1,5 disubstituted triazole.

It is to be understood that other macrolide compounds such as, but not limited to, azithromycin and clarithromycin, could be N-demethylated and serve as starting materials for the chemistry exemplified in Scheme 1. Target compounds derived from such alternate macrolide precursors are to be considered within the scope of the present invention.

An alternate approach to derivatives of type 5 and 6 is illustrated by Scheme 2. Acetylenic alcohols of type 14 can be treated with asides 4 to yield intermediate alcohol 15 (along with a minor amount of the regioisomeric triazole). Tosylation of 15 will provide tosylates 16 which can serve as alkylating agents for macrolide amines of type 1 to afford targets 5 (and its isomer 6). It will be appreciated that other sulfonate derivatives or halides could be formed from intermediate alcohol 15, and these would be useful as electrophiles for the alkylation of macrolide amines such as 1 to afford compounds of the invention.

Other starting materials for the synthesis of compounds of the present invention are readily synthesizable.

4. CHARACTERIZATION OF COMPOUNDS OF THE INVENTION

Compounds designed, selected and/or optimized by methods described above, once produced, can be characterized using a variety of assays known to those skilled in the art to determine whether the compounds have biological activity. For example, the molecules can be characterized by conventional assays, including but not limited to those assays described below, to determine whether they have a predicted activity, binding activity and/or binding specificity.

Furthermore, high-throughput screening can be used to speed up analysis using such assays. As a result, it can be possible to rapidly screen the molecules described herein for activity, for example, as anti-cancer, anti-bacterial, anti-fungal, anti-parasitic or anti-viral agents. Also, it can be possible to assay how the compounds interact with a ribosome or ribosomal subunit and/or are effective as modulators (for example, inhibitors) of protein synthesis using techniques known in the art. General methodologies for performing high-throughput screening are described, for example, in Devlin (1998) High Throughput Screening, Marcel Dekker, and U.S. Pat. No. 5,763,263. High-throughput assays can use one or more different assay techniques including, but not limited to, those described below.

(1) Surface Binding Studies.

A variety of binding assays can be useful in screening new molecules for their binding activity. One approach includes surface plasmon resonance (SPR) that can be used to evaluate the binding properties of molecules of interest with respect to a ribosome, ribosomal subunit or a fragment thereof.

SPR methodologies measure the interaction between two or more macromolecules in real-time through the generation of a quantum-mechanical surface plasmon. One device, (BIAcore Biosensor® from Pharmacia Biosensor, Piscataway, N.J.) provides a focused beam of polychromatic light to the interface between a gold film (provided as a disposable biosensor “chip”) and a buffer compartment that can be regulated by the user. A 100 nm thick “hydrogel” composed of carboxylated dextran that provides a matrix for the covalent immobilization of analytes of interest is attached to the gold film. When the focused light interacts with the free electron cloud of the gold film, plasmon resonance is enhanced. The resulting reflected light is spectrally depleted in wavelengths that optimally evolved the resonance. By separating the reflected polychromatic light into its component wavelengths (by means of a prism), and determining the frequencies that are depleted, the BIAcore establishes an optical interface which accurately reports the behavior of the generated surface plasmon resonance. When designed as above, the plasmon resonance (and thus the depletion spectrum) is sensitive to mass in the evanescent field (which corresponds roughly to the thickness of the hydrogel). If one component of an interacting pair is immobilized to the hydrogel, and the interacting partner is provided through the buffer compartment, the interaction between the two components can be measured in real time based on the accumulation of mass in the evanescent field and its corresponding effects of the plasmon resonance as measured by the depletion spectrum. This system permits rapid and sensitive real-time measurement of the molecular interactions without the need to label either component.

(2) Fluorescence Polarization.

Fluorescence polarization (FP) is a measurement technique that can readily be applied to protein-protein, protein-ligand, or RNA-ligand interactions in order to derive IC₅₀s and Kds of the association reaction between two molecules. In this technique one of the molecules of interest is conjugated with a fluorophore. This is generally the smaller molecule in the system (in this case, the compound of interest). The sample mixture, containing both the ligand-probe conjugate and the ribosome, ribosomal subunit or fragment thereof, is excited with vertically polarized light. Light is absorbed by the probe fluorophores, and re-emitted a short time later. The degree of polarization of the emitted light is measured. Polarization of the emitted light is dependent on several factors, but most importantly on viscosity of the solution and on the apparent molecular weight of the fluorophore. With proper controls, changes in the degree of polarization of the emitted light depends only on changes in the apparent molecular weight of the fluorophore, which in-turn depends on whether the probe-ligand conjugate is free in solution, or is bound to a receptor. Binding assays based on FP have a number of important advantages, including the measurement of IC₅₀s and Kds under true homogenous equilibrium conditions, speed of analysis and amenity to automation, and ability to screen in cloudy suspensions and colored Solutions.

(3) Protein Synthesis.

It is contemplated that, in addition to characterization by the foregoing biochemical assays, the compound of interest can also be characterized as a modulator (for example, an inhibitor of protein synthesis) of the functional activity of the ribosome or ribosomal subunit.

Furthermore, more specific protein synthesis inhibition assays can be performed by administering the compound to a whole organism, tissue, organ, organelle, cell, a cellular or subcellular extract, or a purified ribosome preparation and observing its pharmacological and inhibitory properties by determining, for example, its inhibition constant (IC₅₀) for inhibiting protein synthesis. Incorporation of ³H leucine or ³⁵S methionine, or similar experiments can be performed to investigate protein synthesis activity. A change in the amount or the rate of protein synthesis in the cell in the presence of a molecule of interest indicates that the molecule is a modulator of protein synthesis. A decrease in the rate or the amount of protein synthesis indicates that the molecule is a inhibitor of protein synthesis.

Furthermore, the compounds can be assayed for anti-proliferative or anti-infective properties on a cellular level. For example, where the target organism is a microorganism, the activity of compounds of interest can be assayed by growing the microorganisms of interest in media either containing or lacking the compound. Growth inhibition can be indicative that the molecule can be acting as a protein synthesis inhibitor. More specifically, the activity of the compounds of interest against bacterial pathogens can be demonstrated by the ability of the compound to inhibit growth of defined strains of human pathogens. For this purpose, a panel of bacterial strains can be assembled to include a variety of target pathogenic species, some containing resistance mechanisms that have been characterized. Use of such a panel of organisms permits the determination of structure-activity relationships not only in regards to potency and spectrum, but also with a view to obviating resistance mechanisms. The assays can be performed in microtiter trays according to conventional methodologies as published by The National Committee for Clinical Laboratory Standards (NCCLS) guidelines (NCCLS, M7-A5-Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow Aerobically; Approved Standard-Fifth Edition. NCCLS Document M100-312/M7 (ISBN 1-56238-394-9)).

5. FORMULATION AND ADMINISTRATION

The compounds of the invention can be useful in the prevention or treatment of a variety of human or other animal, including mammalian and non mammalian, disorders, including for example, bacterial infection, fungal infections, viral infections, parasitic diseases, and cancer. It is contemplated that, once identified, the active molecules of the invention can be incorporated into any suitable carrier prior to use The dose of active molecule, mode of administration and use of suitable carrier will depend upon the intended recipient and target organism. The formulations, both for veterinary and for human medical use, of compounds according to the present invention typically include such compounds in association with a pharmaceutically acceptable carrier.

The carrier(s) should be “acceptable” m the sense of being compatible with the other ingredients of the formulations and not deleterious to the recipient. Pharmaceutically acceptable carriers, in this regard, are intended to include any and all solvents, dispersion media, coatings, anti-bacterial and anti-fungal agents, isotonic and absorption delaying agents, and the like, compatible with pharmaceutical administration. The use of such media and agents for pharmaceutically active substances is known in the art. Except insofar as any conventional media or agent is incompatible with the active compound, use thereof in the compositions is contemplated. Supplementary active compounds (identified or designed according to the invention and/or known in the art) also can be incorporated into the compositions. The formulations can conveniently be presented in dosage unit form and can be prepared by any of the methods well known in the art of pharmacy/microbiology. In general, some formulations are prepared by bringing the compound into association with a liquid carrier or a finely divided solid Carrier or both, and then, if necessary, shaping the product into the desired formulation.

A pharmaceutical composition of the invention should be formulated to be compatible with its intended route of administration. Examples of routes of administration include oral or parenteral, for example, intravenous, intradermal, inhalation, transdermal (topical), transmucosal, and rectal administration. Solutions or suspensions used for parenteral, intradermal, or subcutaneous application can include the following components: a sterile diluent such as water for injection, saline solution, fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents; antibacterial agents such as benzyl alcohol or methyl parabens; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid; buffers such as acetates, citrates or phosphates and agents for the adjustment of tonicity such as sodium chloride or dextrose, pH can be adjusted with acids or bases, such as hydrochloric acid or sodium hydroxide.

Useful solutions for oral or parenteral administration can be prepared by any of the methods well known in the pharmaceutical art, described, for example, in Remington's Pharmaceutical Sciences, (Gennaro, A., ed.), Mack Pub., (1990). Formulations for parenteral administration can also include glycocholate for buccal administration, methoxysalicylate for rectal administration, or citric acid for vaginal administration. The parenteral preparation can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic. Suppositories for rectal administration also can be prepared by mixing the drug With a non-irritating excipient such as cocoa butter, other glycerides, or other compositions which are solid at room temperature and liquid at body temperatures. Formulations also can include, for example, polyalkylene glycols such as polyethylene glycol, oils of vegetable origin, and hydrogenated naphthalenes. Formulations for direct administration can include glycerol and other compositions of high viscosity. Other potentially useful parenteral carriers for these drugs include ethylene-vinyl acetate copolymer particles, osmotic pumps, implantable infusion systems, and liposomes. Formulations for inhalation administration can contain as excipients, for example, lactose, or can be aqueous solutions containing, for example, polyoxyethylene-9-lauryl ether, glycocholate and deoxycholate, or oily solutions for administration in the form of nasal drops, or as a get to be applied intranasally. Retention enemas also can be used for rectal delivery.

Formulations of the present invention suitable for oral administration can be in the form of: discrete units such as capsules, gelatin capsules, sachets, tablets, troches, or lozenges, each containing a predetermined amount of the drug; a powder or granular composition; a solution or a suspension in an aqueous liquid or non-aqueous liquid; or an oil-in-water emulsion or a water-in-oil emulsion. The drug can also be administered in the form of a bolus, electuary or paste. A tablet can be made by compressing or moulding the drug optionally with one or more accessory ingredients. Compressed tablets can be prepared by compressing, in a suitable machine, the drug in a free-flowing form such as a powder or granules, optionally mixed by a binder, lubricant, inert diluent, surface active or dispersing agent. Moulded tablets can be made by moulding, in a suitable machine, a mixture of the powdered drug and suitable carrier moistened with an inert liquid diluent.

Oral compositions generally include an inert diluent or an edible carrier. For the purpose of oral therapeutic administration, the active compound can be incorporated with excipients. Oral compositions prepared using a fluid carrier for use as a mouthwash include the compound in the fluid carrier and are applied orally and swished and expectorated or swallowed. Pharmaceutically compatible binding agents, and/or adjuvant materials can be included as part of the composition. The tablets, pills, capsules, troches and the like can contain any of the following ingredients, or compounds of a similar nature: a binder such as microcrystalline cellulose, gum tragacanth or gelatin; an excipient such as starch or lactose; a disintegrating agent such as alginic acid, Primogel, or corn starch; a lubricant such as magnesium stearate or Sterotes; a glidant such as colloidal silicon dioxide; a sweetening agent such as sucrose or saccharin; or a flavoring agent such as peppermint, methyl salicylate, or orange flavoring.

Pharmaceutical compositions suitable for injectable use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, Cremophor EL™ (BASF, Parsippany, N.J.) or phosphate buffered saline (PBS). It should be stable under the conditions of manufacture and storage and should be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol), and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as manitol, sorbitol, or sodium chloride in the composition. Prolonged absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin.

Sterile injectable solutions can be prepared by incorporating the active compound in the required amount in an appropriate solvent with one or a combination of ingredients enumerated above, as required, followed by filter sterilization. Generally, dispersions are prepared by incorporating the active compound into a sterile vehicle which contains a basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, methods of preparation include vacuum drying and freeze-drying which yields a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.

Formulations suitable for intra-articular administration can be in the form of a sterile aqueous preparation of the drug that can be in microcrystalline form, for example, in the form of an aqueous microcrystalline suspension. Liposomal formulations or biodegradable polymer systems can also be used to present the drug for both intra-articular and ophthalmic administration.

Formulations suitable for topical administration, including eye treatment, include liquid or semi-liquid preparations such as liniments, lotions, gels, applicants, oil-in-water or water-in-oil emulsions such as creams, ointments or pastes; or solutions or suspensions such as drops. Formulations for topical administration to the skin surface can be prepared by dispersing the drag with a dermatologically acceptable carrier such as a lotion, cream, ointment or soap. Particularly useful are carriers capable of forming a film or layer over the skin to localize application and inhibit removal. For topical administration to internal tissue surfaces, the agent can be dispersed in a liquid tissue adhesive or other substance known to enhance adsorption to a tissue surface. For example, hydroxypropylcellulose or fibrinogen/thrombin solutions can be used to advantage. Alternatively, tissue-coating solutions, such as pectin-containing formulations can be used.

For inhalation treatments, inhalation of powder (self-propelling or spray formulations) dispensed with a spray can, a nebulizer, or an atomizer can be used. Such formulations can be in the form of a fine powder for pulmonary administration from a powder inhalation device or self-propelling powder-dispensing formulations. In the case of self-propelling solution and spray formulations, the effect can be achieved either by choice of a valve having the desired spray characteristics (i.e., being capable of producing a spray having the desired particle size) or by incorporating the active ingredient as a suspended powder in controlled particle size. For administration by inhalation, the compounds also can be delivered in the form of an aerosol spray from pressured container or dispenser which contains a suitable propellant, e.g., a gas such as carbon dioxide, or a nebulizer.

Systemic administration also can be by transmucosal or transdermal means. For transmucosal or transdermal administration, penetrants appropriate to the barrier to be permeated are used in the formulation. Such penetrants generally are known in the art, and include, for example, for transmucosal administration, detergents and bile salts. Transmucosal administration can be accomplished through the use of nasal sprays or suppositories. For transdermal administration, the active compounds typically are formulated into ointments, salves, gels, or creams as generally known in the art.

The active compounds can be prepared with carriers that will protect the compound against rapid elimination from the body, such as a controlled release formulation, including implants and microencapsulated delivery systems. Biodegradable, biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Methods for preparation of such formulations will be apparent to those allied in the art. Liposomal suspensions can also be used as pharmaceutically acceptable carriers. These can be prepared according to methods known to those skilled in the art, for example, as described in U.S. Pat. No. 4,522,811.

Oral or parenteral compositions can be formulated in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form refers to physically discrete units suited as unitary dosages for the subject to be treated; each unit containing a predetermined quantity of active compound calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. The specification for the dosage unit forms of the invention are dictated by and directly dependent on the unique characteristics of the active compound and the particular therapeutic effect to be achieved, and the limitations inherent in the art of compounding such an active compound for the treatment of individuals. Furthermore, administration can be by periodic injections of a bolus, or can be made more continuous by intravenous, intramuscular or intraperitoneal administration from an external reservoir (e.g., an intravenous bag).

Where adhesion to a tissue surface is desired the composition can include the drug dispersed in a fibrinogen-thrombin composition or other bioadhesive. The compound then can be painted, sprayed or otherwise applied to the desired tissue surface. Alternatively, the drugs can be formulated for parenteral or oral administration to humans or other mammals, for example, in therapeutically effective amounts, e.g., amounts that provide appropriate concentrations of the drug to target tissue for a time sufficient to induce the desired effect.

Where the active compound is to be used as part of a transplant procedure, it can be provided to the living tissue or organ to be transplanted prior to removal of tissue or organ from the donor. The compound can be provided to the donor host. Alternatively or, in addition, once removed from the donor, the organ or living tissue can be placed in a preservation solution containing the active compound. In all cases, the active compound can be administered directly to the desired tissue, as by injection to the tissue, or it can be provided systemically, either by oral or parenteral administration, using any of the methods and formulations described herein and/or known in the art. Where the drug comprises part of a tissue or organ preservation solution, any commercially available preservation solution can be used to advantage. For example, useful solutions known in the art include Collins solution, Wisconsin solution, Belzer solution, Eurocollins solution and lactated Ringer's solution.

The compounds of the present invention can be administered directly to a tissue locus by applying the compound to a medical device that is placed in contact with the tissue. An example of a medical device is a stent, which contains or is coated with one or more of the compounds of the present invention.

For example, an active compound can be applied to a stent at the site of vascular injury. Steins can be prepared by any of the methods well known in the pharmaceutical art. See, e.g., Fattori, R. and Piva, T., “Drug Eluting Stents in Vascular Intervention,” Lancet, 2003, 361, 247-249; Morice, M. C., “A New Era in the Treatment of Coronary Disease?” European Heart Journal, 2003, 24, 209-211; and Toutouzas, K. et al., “Sirolimus-Eluting Stents: A Review of Experimental and Clinical Findings,” Z. Kardiol., 2002, 91(3), 49-57. The stent can be fabricated from stainless steel or another bio-compatible metal, or it can be made of a bio-compatible polymer. The active compound can be linked to the stent surface, embedded and released from polymer materials coated on the stent, or surrounded by and released through a carrier which coats or spans the stent. The stent can be used to administer single or multiple active compounds to tissues adjacent to the stent.

Active compound as identified or designed by the methods described herein can be administered to individuals to treat disorders (prophylactically or therapeutically). In conjunction with such treatment, pharmacogenomics (i.e., the study of the relationship between an individual's genotype and that individual's response to a foreign compound or drug) can be considered. Differences in metabolism of therapeutics can lead to severe toxicity or therapeutic failure by altering the relation between dose and blood concentration of the pharmacologically active drug. Thus, a physician or clinician can consider applying knowledge obtained in relevant pharmacogenomics studies in determining whether to administer a drug as well as tailoring the dosage and/or therapeutic regimen of treatment with the drug.

In therapeutic use for treating, or combating, bacterial infections in mammals, the compounds or pharmaceutical compositions thereof will be administered orally, parenterally and/or topically at a dosage to obtain and maintain a concentration, that is, an amount, or blood-level or tissue level of active component in the animal undergoing treatment which will be anti-microbially effective. Generally, an effective amount of dosage of active component will be in the range of from about 0.1 to about 100, more preferably from about 1.0 to about 50 mg/kg of body weight/day. The amount administered will also likely depend on such variables as the type and extent of disease or indication to be treated; the overall health status of the particular patient, the relative biological efficacy of the compound delivered, the formulation of the drug, the presence and types of excipients in the formulation, and the route of administration. Also, it is to be understood that the initial dosage administered can be increased beyond the above upper level in order to rapidly achieve the desired blood-level or tissue level, or the initial dosage can be smaller than the optimum and the daily dosage can be progressively increased during the course of treatment depending on the particular situation. If desired, the daily dose can also be divided into multiple doses for administration, for example, two to four times per day.

Various disease states or conditions in humans and other mammals are found to be caused by or mediated by nonsense or missense mutations. These mutations cause or mediate the disease state or condition by adversely affecting, for example, protein synthesis, folding, trafficking and/or function. Examples of disease states or conditions in which an appreciable percentage of the disease or condition is believed to result from nonsense or missense mutations include hemophilia (factor VIII gene), neurofibromatosis (NF1 and NF2 genes), retinitis pigmentosa (human USH2A gene), bullous skin diseases like Epidermolysis bullosa pruriginosa (COL7A1 gene), cystic fibrosis (cystic fibrosis transmembrane regulator gene), breast and ovarian cancer (BRCA1 and BRCA2 genes), Duchenne muscular dystrophy (dystrophin gene), colon cancer (mismatch repair genes, predominantly in MLH1 and MSH2), and lysosomal storage disorders such as Neimann-Pick disease (acid sphingomyelinase gene). See Sanders C R, Myers J K. Disease-related misassembly of membrane proteins. Annu Rev Biophys Biomol Struct. 2004; 33:25-51; National Center for Biotechnology Information (U.S.) Genes and disease Bethesda, Md.: NCBI, NLM ID: 101138560; and Raskó, István; Downes, C S Genes in medicine: molecular biology and human genetic disorders 1st ed. London; New York: Chapman & Hall, 1995. NLM ID: 9502404. The compounds of the present invention can be used to treat or prevent a disease state in a mammal caused or mediated by such nonsense or missense mutations by administering to a mammal in need thereof an effective amount of the present invention to suppress the nonsense or missense mutation involved in the disease state.

6. EXAMPLES

Nuclear magnetic resonance (NMR) spectra were obtained on a Broker Avance 300 or Avance 500 spectrometer, or in some cases a GE-Nicolet 300 spectrometer. Common reaction solvents were either high performance liquid chromatography (HPLC) grade or American Chemical Society (ACS) grade, and anhydrous as obtained from the manufacturer unless otherwise noted. “Chromatography” or “purified by silica gel” refers to flash column chromatography using silica gel (E M Merck, Silica Gel 60, 230-400 mesh) unless otherwise noted.

Some of the abbreviations used in the following, experimental details of the synthesis of the examples are defined below:

Ac=acetyl hr=hour(s) min=minute(s) mol=mole(s) mmol=millimole(s) M=molar μM=micromolar g gram(s) μg=microgram(s) rt=room temperature L=liter(s) mL=milliliter(s) Et₂O=diethyl ether THF=tetrahydrofuran DMSO=dimethyl sulfoxide EtOAc=ethyl acetate Et₃N=triethylamine i-Pr₂NEt=diisopropylethylamine CH₂Cl₂=methylene chloride CHCl₃=chloroform CDCl₃=deuterated chloroform CCl₄=carbon tetrachloride MeOH=methanol CD₃OD=deuterated methanol EtOH=ethanol DMF=dimethylformamide BOC=t-butoxycarbonyl CBZ=benzyloxycarbonyl TBS=t-butyldimethylsilyl TBSCl=t-butyldimethylsilyl chloride TFA=trifluoroacetic acid DBU=diazabicycloundecene TBDPSCl=t-butyldiphenylchlorosilane

Hunig's Base=N,N-diisopropylethylamine

DMAP=4-dimethylaminopyridine CuI=copper (I) iodide MsCl=methanesulfonyl chloride NaN₃=sodium azide Na₂SO₄=sodium sulfate NaHCO₃=sodium bicarbonate NaOH=sodium hydroxide MgSO₄=magnesium sulfate K₂CO₃=potassium carbonate KOH=potassium hydroxide NH₄OH=ammonium hydroxide NH₄Cl=ammonium chloride SiO₂=silica Pd—C=palladium on carbon Pd(dppf)Cl₂=dichloro[1,1′-bis(diphenylphosphino)ferrocene]palladium (II)

Exemplary compounds which can be synthesized in accordance with the invention are listed in Table 1, Table 1A, and Table 1C. A bolded or dashed bond is shown to indicate a particular stereochemistry at a chiral center, whereas a wavy bond indicates that the substituent can be in either orientation or that the compound is a mixture thereof. It should also be known that in the interest of space, the chemical structures for some compounds have been condensed, for example the methyl and ethyl group substituents are designated with just a carbon backbone representation, and the unsaturated bonds in the triazole rings might not always be visible.

The compounds of the present invention can be prepared, formulated, and delivered as pharmaceutically acceptable salts, esters, and prodrugs. For convenience, the compounds are generally shown without indicating a particular salt, ester, or prodrug form.

TABLE 1 Compound No. Structure 100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125

126

127

128

129

130

131

132

133

134

135

136

137

138

139

140

141

142

143

144

145

146

147

148

149

150

151

152

153

154

155

156

157

158

159

160

161

162

163

164

165

166

167

168

169

170

171

172

173

174

175

176

177

178

179

180

181

182

183

184

185

186

187

188

189

190

191

192

193

194

195

196

197

198

199

200

201

202

203

204

205

206

207

208

209

210

211

212

213

214

215

216

217

218

219

220

221

222

223

224

225

226

227

228

229

230

231

232

233

234

235

236

237

238

239

240

241

242

243

244

245

246

247

248

249

250

251

252

253

254

255

256

257

258

259

260

261

262

263

264

265

266

267

268

269

270

271

272

273

274

275

276

277

278

279

280

281

282

283

284

285

Table 1A provides further examples of compounds, compounds 1000a-h through 1051a-h, of the present invention. These compounds correspond to the following structure, wherein “T”, “A”, and R¹¹ are as defined below and in Table 1B. Compounds in which, for example, the —OCH₃ substituent is replaced with —OCH₂F or —SCH₃ can also be prepared and are contemplated as within the scope of the present invention.

TABLE lA Compound T A R¹¹ 1000a T1 H H 1000b T1 H F 1000c T2 H H 1000d T2 H F 1000e T3 H H 1000f T3 H F 1000g T4 H H 1000h T4 H F 1001a T1 CH₃CH₂CH₂— H 1001b T1 CH₃CH₂CH₂— F 1001c T2 CH₃CH₂CH₂— H 1001d T2 CH₃CH₂CH₂— F 1001e T3 CH₃CH₂CH₂— H 1001f T3 CH₃CH₂CH₂— F 1001g T4 CH₃CH₂CH₂— H 1001h T4 CH₃CH₂CH₂— F 1002a T1 CH₂═CHCH₂— H 1002b T1 CH₂═CHCH₂— F 1002c T2 CH₂═CHCH₂— H 1002d T2 CH₂═CHCH₂— F 1002e T3 CH₂═CHCH₂— H 1002f T3 CH₂═CHCH₂— F 1002g T4 CH₂═CHCH₂— H 1002h T4 CH₂═CHCH₂— F 1003a T1 HC≡CCH₂— H 1003b T1 HC≡CCH₂— F 1003c T2 HC≡CCH₂— H 1003d T2 HC≡CCH₂— F 1003e T3 HC≡CCH₂— H 1003f T3 HC≡CCH₂— F 1003g T4 HC≡CCH₂— H 1003h T4 HC≡CCH₂— F 1004a T1

H 1004b T1

F 1004c T2

H 1004d T2

F 1004e T3

H 1004f T3

F 1004g T4

H 1004h T4

F 1005a T1

H 1005b T1

F 1005c T2

H 1005d T2

F 1005e T3

H 1005f T3

F 1005g T4

H 1005h T4

F 1006a T1

H 1006b T1

F 1006c T2

H 1006d T2

F 1006e T3

H 1006f T3

F 1006g T4

H 1006h T4

F 1007a T1

H 1007b T1

F 1007c T2

H 1007d T2

F 1007e T3

H 1007f T3

F 1007g T4

H 1007h T4

F 1008a T1

H 1008b T1

F 1008c T2

H 1008d T2

F 1008e T3

H 1008f T3

F 1008g T4

H 1008h T4

F 1009a T1

H 1009b T1

F 1009c T2

H 1009d T2

F 1009e T3

H 1009f T3

F 1009g T4

H 1009h T4

F 1010a T1

H 1010b T1

F 1010c T2

H 1010d T2

F 1010e T3

H 1010f T3

F 1010g T4

H 1010h T4

F 1011a T1

H 1011b T1

F 1011c T2

H 1011d T2

F 1011e T3

H 1011f T3

F 1011g T4

H 1011h T4

F 1012a T1

H 1012b T1

F 1012c T2

H 1012d T2

F 1012e T3

H 1012f T3

F 1012g T4

H 1012h T4

F 1013a T1

H 1013b T1

F 1013c T2

H 1013d T2

F 1013e T3

H 1013f T3

F 1013g T4

H 1013h T4

F 10140a T1

H 1014b T1

F 1014c T2

H 1014d T2

F 1014e T3

H 1014f T3

F 1014g T4

H 1014h T4

F 1015a T1

H 1015b T1

F 1015c T2

H 1015d T2

F 1015e T3

H 1015f T3

F 1015g T4

H 1015h T4

F 1016a T1 HO— H 1016b T1 HO— F 1016c T2 HO— H 1016d T2 HO— F 1016e T3 HO— H 1016f T3 HO— F 1016g T4 HO— H 1016h T4 HO— F 1017a T1 HS— H 1017b T1 HS— F 1017c T2 HS— H 1017d T2 HS— F 1017e T3 HS— H 1017f T3 HS— F 1017g T4 HS— H 1017h T4 HS— F 1018a T1 F H 1018b T1 F F 1018c T2 F H 1018d T2 F F 1018e T3 F H 1018f T3 F F 1018g T4 F H 1018h T4 F F 1019a T1 Cl H 1019b T1 Cl F 1019c T2 Cl H 1019d T2 Cl F 1019e T3 Cl H 1019f T3 Cl F 1019g T4 Cl H 1019h T4 Cl F 1020a T1 Br H 1020b T1 Br F 1020c T2 Br H 1020d T2 Br F 1020e T3 Br H 1020f T3 Br F 1020g T4 Br H 1020h T4 Br F 1021a T1 I H 1021b T1 I F 1021c T2 I H 1021d T2 I F 1021e T3 I H 1021f T3 I F 1021g T4 I H 1021h T4 I F 1022a T1 F₃C— H 1022b T1 F₃C— F 1022c T2 F₃C— H 1022d T2 F₃C— F 1022e T3 F₃C— H 1022f T3 F₃C— F 1022g T4 F₃C— H 1022h T4 F₃C— F 1023a T1 NC— H 1023b T1 NC— F 1023c T2 NC— H 1023d T2 NC— F 1023e T3 NC— H 1023f T3 NC— F 1023g T4 NC— H 1023h T4 NC— F 1024a T1 N₃— H 1024b T1 N₃— F 1024c T2 N₃— H 1024d T2 N₃— F 1024e T3 N₃— H 1024f T3 N₃— F 1024g T4 N₃— H 1024h T4 N₃— F 1025a T1 NO₂— H 1025b T1 NO₂— F 1025c T2 NO₂— H 1025d T2 NO₂— F 1025e T3 NO₂— H 1025f T3 NO₂— F 1025g T4 NO₂— H 1025h T4 NO₂— F 1026a T1 (CH₃)₂N— H 1026b T1 (CH₃)₂N— F 1026c T2 (CH₃)₂N— H 1026d T2 (CH₃)₂N— F 1026e T3 (CH₃)₂N— H 1026f T3 (CH₃)₂N— F 1026g T4 (CH₃)₂N— H 1026h T4 (CH₃)₂N— F 1027a T1 CH₃O— H 1027b T1 CH₃O— F 1027c T2 CH₃O— H 1027d T2 CH₃O— F 1027e T3 CH₃O— H 1027f T3 CH₃O— F 1027g T4 CH₃O— H 1027h T4 CH₃O— F 1028a T1 CH₃S— H 1028b T1 CH₃S— F 1028c T2 CH₃S— H 1028d T2 CH₃S— F 1028e T3 CH₃S— H 1028f T3 CH₃S— F 1028g T4 CH₃S— H 1028h T4 CH₃S— F 1029a T1 CH₃S(═O)— H 1029b T1 CH₃S(═O)— F 1029c T2 CH₃S(═O)— H 1029d T2 CH₃S(═O)— F 1029e T3 CH₃S(═O)— H 1029f T3 CH₃S(═O)— F 1029g T4 CH₃S(═O)— H 1029h T4 CH₃S(═O)— F 1030a T1 CH₃S(═O)₂— H 1030b T1 CH₃S(═O)₂— F 1030c T2 CH₃S(═O)₂— H 1030d T2 CH₃S(═O)₂— F 1030e T3 CH₃S(═O)₂— H 1030f T3 CH₃S(═O)₂— F 1030g T4 CH₃S(═O)₂— H 1030h T4 CH₃S(═O)₂— F 1031a T1 HC(═O)— H 1031b T1 HC(═O)— F 1031c T2 HC(═O)— H 1031d T2 HC(═O)— F 1031e T3 HC(═O)— H 1031f T3 HC(═O)— F 1031g T4 HC(═O)— H 1031h T4 HC(═O)— F 1032a T1 CH₃C(═O)— H 1032b T1 CH₃C(═O)— F 1032c T2 CH₃C(═O)— H 1032d T2 CH₃C(═O)— F 1032e T3 CH₃C(═O)— H 1032f T3 CH₃C(═O)— F 1032g T4 CH₃C(═O)— H 1032h T4 CH₃C(═O)— F 1033a T1 CH₃OC(═O)— H 1033b T1 CH₃OC(═O)— F 1033c T2 CH₃OC(═O)— H 1033d T2 CH₃OC(═O)— F 1033e T3 CH₃OC(═O)— H 1033f T3 CH₃OC(═O)— F 1033g T4 CH₃OC(═O)— H 1033h T4 CH₃OC(═O)— F 1034a T1 CH₃COO— H 1034b T1 CH₃COO— F 1034c T2 CH₃COO— H 1034d T2 CH₃COO— F 1034e T3 CH₃COO— H 1034f T3 CH₃COO— F 1034g T4 CH₃COO— H 1034h T4 CH₃COO— F 1035a T1 CH₃OCOO— H 1035b T1 CH₃OCOO— F 1035c T2 CH₃OCOO— H 1035d T2 CH₃OCOO— F 1035e T3 CH₃OCOO— H 1035f T3 CH₃OCOO— F 1035g T4 CH₃OCOO— H 1035h T4 CH₃OCOO— F 1036a T1 CH₃C(═O)S— H 1036b T1 CH₃C(═O)S— F 1036c T2 CH₃C(═O)S— H 1036d T2 CH₃C(═O)S— F 1036e T3 CH₃C(═O)S— H 1036f T3 CH₃C(═O)S— F 1036g T4 CH₃C(═O)S— H 1036h T4 CH₃C(═O)S— F 1037a T1 CH₃C(═O)NH— H 1037b T1 CH₃C(═O)NH— F 1037c T2 CH₃C(═O)NH— H 1037d T2 CH₃C(═O)NH— F 1037e T3 CH₃C(═O)NH— H 1037f T3 CH₃C(═O)NH— F 1037g T4 CH₃C(═O)NH— H 1037h T4 CH₃C(═O)NH— F 1038a T1 CH₃NHC(═O)— H 1038b T1 CH₃NHC(═O)— F 1038c T2 CH₃NHC(═O)— H 1038d T2 CH₃NHC(═O)— F 1038e T3 CH₃NHC(═O)— H 1038f T3 CH₃NHC(═O)— F 1038g T4 CH₃NHC(═O)— H 1038h T4 CH₃NHC(═O)— F 1039a T1 CH₃C(═NOH)— H 1039b T1 CH₃C(═NOH)— F 1039c T2 CH₃C(═NOH)— H 1039d T2 CH₃C(═NOH)— F 1039e T3 CH₃C(═NOH)— H 1039f T3 CH₃C(═NOH)— F 1039g T4 CH₃C(═NOH)— H 1039h T4 CH₃C(═NOH)— F 1040a T1 CH₃C[═N—N(CH₃)₂]— H 1040b T1 CH₃C[═N—N(CH₃)₂]— F 1040c T2 CH₃C[═N—N(CH₃)₂]— H 1040d T2 CH₃C[═N—N(CH₃)₂]— F 1040e T3 CH₃C[═N—N(CH₃)₂]— H 1040f T3 CH₃C[═N—N(CH₃)₂]— F 1040g T4 CH₃C[═N—N(CH₃)₂]— H 1040h T4 CH₃C[═N—N(CH₃)₂]— F 1041a T1

H 1041b T1

F 1041c T2

H 1041d T2

F 1041e T3

H 1041f T3

F 10410g T4

H 1041h T4

F 1042a T1 CH₃C[═N—OCH₃]— H 1042b T1 CH₃C[═N—OCH₃]— F 1042c T2 CH₃C[═N—OCH₃]— H 1042d T2 CH₃C[═N—OCH₃]— F 1042e T3 CH₃C[═N—OCH₃]— H 1042f T3 CH₃C[═N—OCH₃]— F 1042g T4 CH₃C[═N—OCH₃]— H 1042h T4 CH₃C[═N—OCH₃]— F 1043a T1 CH₃OC(═O)NH— H 1043b T1 CH₃OC(═O)NH— F 1043c T2 CH₃OC(═O)NH— H 1043d T2 CH₃OC(═O)NH— F 1043e T3 CH₃OC(═O)NH— H 1043f T3 CH₃OC(═O)NH— F 1043g T4 CH₃OC(═O)NH— H 1043h T4 CH₃OC(═O)NH— F 1044a T1 CH₃NHC(═O)O— H 1044b T1 CH₃NHC(═O)O— F 1044c T2 CH₃NHC(═O)O— H 1044d T2 CH₃NHC(═O)O— F 1044e T3 CH₃NHC(═O)O— H 1044f T3 CH₃NHC(═O)O— F 1044g T4 CH₃NHC(═O)O— H 1044h T4 CH₃NHC(═O)O— F 1045a T1 CH₃NHC(═O)NH— H 1045b T1 CH₃NHC(═O)NH— F 1045c T2 CH₃NHC(═O)NH— H 1045d T2 CH₃NHC(═O)NH— F 1045e T3 CH₃NHC(═O)NH— H 1045f T3 CH₃NHC(═O)NH— F 1045g T4 CH₃NHC(═O)NH— H 1045h T4 CH₃NHC(═O)NH— F 1046a T1 CH₃S(═O)₂NH— H 1046b T1 CH₃S(═O)₂NH— F 1046c T2 CH₃S(═O)₂NH— H 1046d T2 CH₃S(═O)₂NH— F 1046e T3 CH₃S(═O)₂NH— H 1046f T3 CH₃S(═O)₂NH— F 1046g T4 CH₃S(═O)₂NH— H 1046h T4 CH₃S(═O)₂NH— F 1047a T1 CH₃NHS(═O)₂— H 1047b T1 CH₃NHS(═O)₂— F 1047c T2 CH₃NHS(═O)₂— H 1047d T2 CH₃NHS(═O)₂— F 1047e T3 CH₃NHS(═O)₂— H 1047f T3 CH₃NHS(═O)₂— F 1047g T4 CH₃NHS(═O)₂— H 1047h T4 CH₃NHS(═O)₂— F 1048a T1 NH₂— H 1048b T1 NH₂— F 1048c T2 NH₂— H 1048d T2 NH₂— F 1048e T3 NH₂— H 1048f T3 NH₂— F 1048g T4 NH₂— H 1048h T4 NH₂— F 1049a T1 (CH₃)₂N— H 1049b T1 (CH₃)₂N— F 1049c T2 (CH₃)₂N— H 1049d T2 (CH₃)₂N— F 1049e T3 (CH₃)₂N— H 1049f T3 (CH₃)₂N— F 1049g T4 (CH₃)₂N— H 1049h T4 (CH₃)₂N— F 1050a T1 (CH₃)₃Si— H 1050b T1 (CH₃)₃Si— F 10450c T2 (CH₃)₃Si— H 1050d T2 (CH₃)₃Si— F 1050e T3 (CH₃)₃Si— H 1050f T3 (CH₃)₃Si— F 1050g T4 (CH₃)₃Si— H 1050h T4 (CH₃)₃Si— F 1051a T1 (CH₃O)₃Si— H 1051b T1 (CH₃O)₃Si— F 1051c T2 (CH₃O)₃Si— H 1051d T2 (CH₃O)₃Si— F 1051e T3 (CH₃O)₃Si— H 1051f T3 (CH₃O)₃Si— F 1051g T4 (CH₃O)₃Si— H 1051h T4 (CH₃O)₃Si— F

In the forgoing Table 1A, T1, T2, T3, and T4 correspond to the following structures as defined below in Table 1B:

TABLE 1B T T1

T2

T3

T4

Table 1C provides further example's of compounds of the present invention. These compounds correspond to the following structure, wherein “A” is as defined in Table 1C, below. Note that the fragments for “A” are drawn such that the fragment is bonded to the phenyl ring in the structure below via the bond on the left. For example, the first fragment,

could alternatively be drawn as

or —CH₂—CF₃.

TABLE 1C A Groups, Connection is to bond on left.

—Br

—Cl

Synthesis of the Compounds of the Present Invention

Compounds of the present invention can be Made, for example, via a cycloaddition reaction of an alkynyl macrolide with an azide compound. In this cycloaddition reaction, the triazole functional group of the resulting compound is formed. Other compounds of the present invention are made by further chemically modifying the resulting compound from the cycloaddition reaction.

The cycloaddition reaction is generally run in the presence of a copper (I) salt such as copper iodide (CuI). A base can also be optionally used, such as Hunig's base (N,N-diisopropylethylamine). The following general reaction scheme outlines the cycloaddition reaction of the alkynyl macrolide and the azide compound.

The time required for the reaction to proceed to completion is variable and is dependent upon several factors including: the specific alkynyl macrolide and azide compounds and their concentrations; the amount of Cu(I) salt used; and the presence or absence of base, such as Hunig's Base(N,N-diisopropylethylamine). Reactions are monitored for the disappearance of the starting materials by TLC and/or LCMS and are typically allowed to run for between about 2 hours to about 72 hours. Reactions are generally stopped when analysis demonstrates that the starting alkynyl macrolide has been substantially consumed. The workup and purification protocols are standard. Modifications to the described workup procedures can be used. Such modifications can include thence of different aqueous wash solutions, different organic solvents for extraction, the use of other anhydrous salts for the drying of organic extracts, and the employment of different solvent mixtures for the chromatographic purification of the compounds. The methods used for the workup of the reaction mixtures, the extraction of products, the drying of organic extracts, and for the isolation and purification of the title compounds are typical of procedures familiar to those trained in the art of organic synthesis. The isolated chemical yields for the synthesis of compounds can be variable and are indicated in Table 2.

Most compounds of the present invention can be prepared from the desired alkynyl macrolide and azide compound under one of several similar reaction conditions as exemplified by Conditions A, B, C, and D below. Use of Conditions A and C, which do not include the step of degassing the reaction mixture, tend to result in the formation of iodinated side-products in addition to the desired product and thereby generally produced lower isolated yields. Additionally, reduction of the amount of copper iodide used in the reaction to 0.5 molar equivalents or less as in conditions B and D also tends to result in reduced formation of iodinated by-products. As demonstrated in Condition D, the presence of Hunig's base is not essential for the success of the triazole formation step; however, it is found preferable that the base be included since it often results in a higher rate of reaction and correspondingly shorter reaction times.

Condition A:

To a stirred solution of the alkynyl macrolide (0.04 mmol), the azide compound (0.07 mmol) and Hunig's base (10 μL) in 0.5 mL tetrahydrofuran (THF) is added CuI (5 mg, 0.03 mmol). The mixture is stirred at ambient temperature for 16 hours then diluted with CH₂Cl₂ (10 mL) and washed with a 3:1 mixture of saturated aqueous NH₄Cl and 28% aqueous NH₄OH (10 mL) and with brine (10 mL) the aqueous washes are back-extracted with CH₂Cl₂ (2×10 mL). The combined organic extracts are dried over K₂CO₃, filtered, and concentrated to afford 52 mg of crude product which is purified by chromatography on silica gel (elution with 40:1 2M NH₃ in MeOH and CH₂Cl₂) to give the desired compound.

Condition B:

A solution of alkynyl compound (0.10 mmol) and azide compound (0.12 mmol) and Hunig's base in mL THF are thoroughly degassed by alternately evacuating the reaction vessel and purging with dry argon. CuI is then added (2 mg; 0.01 mmol) and the mixture is further degassed. The mixture is stirred under argon for 6 h then diluted with CH₂Cl₂ (20 mL) and washed with a 3:1 mixture of saturated aqueous NH₄Cl and 28% aqueous NH₄OH (10 mL) and with brine (10 mL) the aqueous washes are back-extracted with CH₂Cl₂ (2×15 The combined organic extracts were dried over K₂CO₃, filtered, and concentrated to afford 115 mg of crude product which is purified by chromatography on silica gel (eluted with 2M NH₃ in MeOH (2.5%) and CH₂Cl₂ (97.5%), to give the desired compound.

Condition C:

To a stirred solution of alkynyl compound (0.10 mmol) and Hunig's base (0.2 mL) in 3 mL THF is added the azide compound (0.50 mmol) and Cur (20 mg, 0.10 mmol). The reaction mixture is stirred under argon for 60 hours then poured into saturated aqueous NH₄Cl and extracted with CH₂Cl₂. The organic extracts are dried over Na₂SO₄, filtered, and concentrated to afford a crude residue which is purified by silica gel chromatography (eluted with 25:1:0.1 CH₂Cl₂:MeOH:NH₄OH) and then by preparative TLC (elution with 25:1:0.1 CH₂Cl₂:MeOH:NH₄OH) to afford the desired compound.

Condition D

A solution of alkynyl compound (0.15 mmol) and the azide compound (0.25 mmol) in 2.7 mL THF are thoroughly degassed by alternately evacuating the reaction vessel and purging with dry argon. CuI is then added (10 mg, 0.05 mmol) and the mixture is further degassed. The mixture is stirred under argon for 4 h then concentrated in vacuo, dissolved in CH₂Cl₂ (1 mL), and placed directly on a silica gel column. Elution with 2 molar (M) NH₃ in MeOH (3%) and CH₂Cl₂ (97%) gives the desired compound.

Synthesis of Compounds Wherein Substituent “A” Contains a Triazole Ring

Compounds 131, 132, 172, 173, 174, 175, 182, 185, 199, 201, 203, and 205, as well as other similar compounds, correspond to the generic structure wherein substituent A, as defined for the compounds of the present invention, contains a triazole ring. For Compounds 131, 132, 172, 173, 174, 175, 182, 185, 199, 201, 203, and 205, (R¹¹)_(n) is hydrogen, i.e. the phenyl ring is only substituted with A. These compounds are generally prepared from the cycloaddition reaction of the desired alkynyl macrolide and the nitro phenyl azide compound to form the resulting nitro phenyl macrolide compound. This nitro phenyl macrolide compound is then further transformed to yield the desired compound. For compounds 131, 132, 172, 173, 174, 175, 182, 185, 199, 201, 203, and 205, the nitro group is converted to an azide group via an amine. The azide group is then reacted with an appropriately functionalized alkyne in a second cycloaddition reaction to form the desired compound.

Further detail for some of the compounds of the present invention are provided in Table 2, which are organized as follows:

The first column (labeled “Compound”) lists compound numbers corresponding to those of Table 1, above.

The second column (labeled “Alkynyl Macrolide”) corresponds to the alkynyl macrolide compounds that can be used in the synthesis of the compounds of the present invention. Nonlimiting examples of alkynyl macrolide compounds, labeled M1 to M28 are separately shown below in Table 3.

The third column (labeled “Azide”) corresponds to the azide compounds that can be used in the synthesis of the compounds of the present invention. It should be noted that compounds 131, 132, 172, 173, 174, 175, 182, 185, 199, 201, 203, and 205, as well as other similar compounds, are prepared via a common nitro phenyl azide intermediate, X. The nitro group is further transformed after the cycloaddition reaction to produce the final desired product.

The fourth column (labeled “Yield”) provides the percent yield corresponding to the cycloaddition reaction of the alkynyl macrolide and the azide compound for the indicated compound. In the case of compounds 131, 132, 172, 173, 174, 175, 182, 185, 199, 201, 203, and 205, the yield is a general average for the reaction of the alkynyl macrolide and nitro phenyl azide X.

The fifth column (labeled “LCMS”) provides the liquid chromatography mass spectral data, where available, for the compound.

TABLE 2 Alkynyl Compound Macrolide Azide LCMS 100 M1

538.2 (M + 2H)²⁺ 101 M1

537.7 (M + 2H)²⁺ 102 M1

552.6 (M + 2H)²⁺ 103 M1

538.2 (M + 2H)²⁺ 104 M1

544.6 (M + 2H)²⁺ 105 M1

538.2 (M + 2H)²⁺ 106 M1

545.675 (M + 2H)²⁺ 107 M1

532.6 (M + 2H)²⁺ 108 M1

572.7 (M + 2H)²⁺ 109 M1

552.6 (M + 2H)²⁺ 110 M1

562.1 (M + 2H)²⁺ 111 M1

499.1 (M + 2H)²⁺ 112 M1

539.2 (M + 2H)²⁺ 113 M1

551.7 (M + 2H)²⁺ 114 M1

552.2 (M + 2H)²⁺ 115 M2

— 116 M1

532.2 (M + 2H)²⁺ 117 M1

532.2 (M + 2H)²⁺ 118 M1

532.2 (M + 2H)²⁺ 119 M1

532.1 (M + 2H)²⁺ 120 M3

1063.0 (M + H)⁺ 121 M1

555.2 (M + 2H)²⁺ 122 M3

1074.1 (M + H)⁺ 123 M3

552.2 (M + 2H)²⁺ 124 M3

1073.3 (M + H)⁺ 125 M1

541.2 (M + 2H)²⁺ 126 M3

1087 (M + H)⁺ 127 M4

955 (M + 2)⁺ 128 M5

913 (M + H)⁺ 129 M1

521.6 (M + 2H)²⁺ 130 M1

540.7 (M + 2H)²⁺ 131 M1

568.7 (M + 2H)²⁺ 132 M1

532.7 (M + 2H)²⁺ 133 M3

1088.8 (M + H)⁺ 134 M1

545.7 (M + 2H)²⁺ 135 M1

548.2 (M + 2H)²⁺ 136 M3

1093.8 (M + H)⁺ 137 M5

934 (M + H)⁺ 138 M3

914 (M + H)⁺ 139 M1

536.1 (M + 2H)²⁺ 140 M1

529.2 (M + 2H)²⁺ 141 M1

537.2 (M + 2H)²⁺ 142 M1

545.2 (M + 2H)²⁺ 143 M1

534.7 (M + 2H)²⁺ 144 M1

527.7 (M + 2H)²⁺ 145 M1

520.6 (M + 2H)²⁺ 146 M1

541.6 (M + 2H)²⁺ 147 M3

541.2 (M + 2H)²⁺ 148 M1

562.2 (M + 2H)²⁺ 149 M1

540.7 (M + 2H)²⁺ 150 M1

552.7 (M + 2H)²⁺ 151 M1

555.2 (M + 2H)²⁺ 152 M1

588.2 (M + 2H)²⁺ 153 M1

549.2 (M + 2H)²⁺ 154 M1

548.7 (M + 2H)²⁺ 155 M1

579.7 (M + 2H)²⁺ 156 M1

545.7 (M + 2H)²⁺ 157 M1

541.7 (M + 2H)²⁺ 158 M1

569.8 (M + 2H)²⁺ 159 M1

565.7 (M + 2H)²⁺ 160 M1

528.2 (M + 2H)²⁺ 161 M1

560.5 (M + 2H)²⁺ 162 M1

540.7 (M + 2H)²⁺ 163 M1

506.6 (M + 2H)²⁺ 164 M1

513.1 (M + 2H)²⁺ 165 M1

521.1 (M + 2H)²⁺ 166 M1

514.1 (M + 2H)²⁺ 167 M1

548.6 (M + 2H)²⁺ 168 M1

536 (M + 2H)²⁺ 169 M1

552 (M + 2H)²⁺ 170 M1

534.5 (M + 2H)²⁺ 171 M1

550.5 (M + 2H)²⁺ 172 M1

547.8 (M + 2H)²⁺ 173 M1

561.2 (M + 2H)²⁺ 174 M1

569.8 (M + 2H)²⁺ 175 M1

554.3 (M + 2H)²⁺ 176 M1

548.7 (M + 2H)²⁺ 177 M1

527.7 (M + 2H)²⁺ 178 M1

527.7 (M + 2H)²⁺ 179 M1

527.2 (M + 2H)²⁺ 180 M1

555.7 (M + 2H)²⁺ 181 M1

534.6 (M + 2H)²⁺ 182 M1

552.8 (M + 2H)²⁺ 183 M1

554.7 (M + 2H)²⁺ 184 M1

519.7 (M + 2H)²⁺ 185 M1

606.3 (M + 2H)²⁺ 186 M1

537.1 (M + 2H)²⁺ 187 M1

544.1 (M + 2H)²⁺ 188 M1

555.1 (M + 2H)²⁺ 189 M1

529.1 (M + 2H)²⁺ 190 M1

545.1 (M + 2H)²⁺ 191 M1

523.3 (M + 2H)²⁺ 192 M1

552.7 (M + 2H)²⁺ 193 M1

549.2 (M + 2H)²⁺ 194 M1

549.1 (M + 2H)²⁺ 195 M1

541.8 (M + 2H)²⁺ 196 M1

558.5 (M + 2H)²⁺ 197 M1

547.1 (M + 2H)²⁺ 198 M1

520.6 (M + 2H)²⁺ 199 M1

560.9 (M + 2H)²⁺ 200 M1

538.5 (M + 2H)²⁺ 201 M1

561.1 (M + 2H)²⁺ 202 M1

545.7 (M + 2H)²⁺ 203 M1

554.8 (M + 2H)²⁺ 204 M1

565.2 (M + 2H)²⁺ 205 M1

567.8 (M + 2H)²⁺ 206 M1

557.2 (M + 2H)²⁺ 207 M1

564.2 (M + 2H)²⁺ 208 M1

552.1 (M + 2H)²⁺ 209 M1

572.2 (M + 2H)²⁺ 210 M1

580.2 (M + 2H)²⁺ 211 M6

1113.4 (M + H)⁺ 212 M6

1142.4 (M + H)⁺ 213 M7

1099.4 (M + H)⁺ 214 M7

1128.4 (M + H)⁺ 215 M8

1143.4 (M + H)⁺ 216 M8

1172.4 (M + H)⁺ 217 M1

543.6 (M + 2H)²⁺ 218 M1

559.8 (M + 2H)²⁺ 219 M1

547.2 (M + 2H)²⁺ 220 M1

511.0 (M + 2H)²⁺ 221 M1

550.5 (M + 2H)²⁺ 222 M1

542.1 (M + 2H)²⁺ 223 M1

552.5 (M + 2H)²⁺ 224 M1

511.6 (M + 2H)²⁺ 225 M1

558.7 (M + 2H)²⁺ 226 M1

566.6 (M + 2H)²⁺ 227 M1

573.6 (M + 2H)²⁺ 228 M1

565.6 (M + 2H)²⁺ 229 M1

584.1 (M + 2H)²⁺ 230 M1

573.1 (M + 2H)²⁺ 231 M1

572.5 (M + 2H)²⁺ 232 M1

564.2 (M + 2H)²⁺ 233 M1

547.1 (M + 2H)²⁺ 234 M1

539.1 (M + 2H)²⁺ 235 M1

546.6 (M + 2H)²⁺ 236 M1

540.3 (M + 2H)²⁺ 237 M1

558.3 (M + 2H)²⁺ 238 M1

541.1 (M + 2H)²⁺ 239 M1

522.2 (M + 2H)²⁺ 240 M1

530.1 (M + 2H)²⁺ 241 M1

553.0 (M + 2H)²⁺ 242 M1

545.1 (M + 2H)²⁺ 243 M1

560.1 (M + 2H)²⁺ 244 M1

572.4 (M + 2H)²⁺ 245 M1

541.3 (M + 2H)²⁺ 246 M1

570.2 (M + 2H)²⁺ 247 M1

557.1 (M + 2H)²⁺ 248 M1

553.7 (M + 2H)²⁺ 249 M1

619.9 (M + 2H)²⁺ 250 M1

540.8 (M + 2H)²⁺ 251 M1

533.7 (M + 2H)²⁺ 252 M1

513.7 (M + 2H)²⁺ 253 M1

578.8 (M + 2H)²⁺ 254 M1

557.2 (M + 2H)²⁺ 255 M1

538.1 (M + 2H)²⁺ 256 M1

545.2 (M + 2H)²⁺ 257 M1

539.8 (M + 2H)²⁺ 258 M1

589.8 (M + 2H)²⁺ 259 M1

560.7 (M + 2H)²⁺ 260 M1

547.1 (M + 2H)²⁺ 261 M1

419.9 (M + 3H)³⁺ 629.5 (M + 2H)²⁺ 262 M1

527.3 (M + 2H)²⁺ 263 M1

548.1 (M + 2H)²⁺ 264 M1

568.6 (M + 2H)²⁺ 265 M27

1039.3 (M + H)⁺ 266 M1

527.7 (M + 2H)²⁺ 267 M1

544.8 (M + 2H)²⁺ 268 M1

546.1 (M + 2H)²⁺ 269 M1

561.3 (M + 2H)²⁺ 270 M1

553.1 (M + 2H)²⁺ 271 M1

577.3 (M + 2H)²⁺ 272 M1

541.6 (M + 2H)²⁺ 273 M1

541.8 (M + 2H)²⁺ 274 M1

542.8 (M + 2H)²⁺ 275 M1

542.8 (M + 2H)²⁺ 276 M1

551.8 (M + 2H)²⁺ 277 M1

551.1 (M + 2H)²⁺ 278 M1

558.3 (M + 2H)²⁺ 279 M1

556.2 (M + 2H)²⁺ 280 M1

564.3 (M + 2H)²⁺ 281 M1

540.6 (M + 2H)²⁺

The alkynyl macrolide compounds that can be used in the synthesis of the compounds of the present invention are shown in the following Table 3. It is appreciated by one of skill in the art that these alkynyl macrolide compounds, M1 to M28, are non-limiting examples and that a wide variety of additional alkynyl macrolides can be used to prepare other compounds of the present invention.

TABLE 3 Alkynyl Macrolide Compound Structure M1 

M2 

M3 

M4 

M5 

M6 

M7 

M8 

M9 

M10

M11

M12

M13

M14

M15

M16

M17

M18

M19

M20

M21

M22

M23

M24

M25

M26

M27

M28

Synthesis of Alkynyl Macrolides

The alkynyl macrolide compounds, such as alkynyl macrolide compounds M1 to M28, are generally made by the alkynylation (i.e. the addition of an alkynyl group) to a monomethyl amine macrolide compound. The monomethyl amine macrolide is generally made by the desmethylation of the corresponding macrolide compound. Depending on the macrolide compound and functional groups present, the desmethylation process can involve several steps, including various protection and deprotection steps. The desmethyl macrolide compound is alkynylated with the corresponding alkynyl compound, which is generally an alkynyl halide, tosylate, or mesylate. For the compounds of the present invention, 4-bromo-1-butyne, 4-iodo-1-butyne, or the tosylate or mesylate of 1-butyn-4-ol are generally used. Examples of synthetic procedures for preparing alkynyl macrolides are found in PCT Application No. WO 2005/085266, published Sep. 15, 2005, to Rib-X Pharmaceuticals, Inc. The following general reaction scheme outlines, this alkynylation process.

The following procedures outline the synthesis of various alkynyl macrolide compounds of the present invention.

Synthesis of Alkynyl Macrolide M1

Alkynyl macrolide M1 is made by selective demethylation of azithromycin 1 to produce 3′-N-desmethylazithromycin 2. This compound 2 is selectively alkylated with alkynyl tosylate 11 to produce alkynyl macrolide M1.

Synthesis of 3%-N-desmethylazithromycin 2

Azithromycin 1 (0.80 g, 1.02 mmol) and sodium acetate (NaOAc) (0.712 g, 8.06 mmol) were dissolved in 80% aqueous MeOH (25 The solution was heated to 50° C. followed by addition of iodine (I₂) (0.272 g, 1.07 mmol) in three batches within 3 minutes. The reaction was maintained at a pH between 8 and 9 by adding 1N sodium hydroxide (NaOH) (1 mL) at 10 min and 45 minute intervals. The solution turned colorless within 45 minutes. Stirring was continued for 2 hours. TLC (CH₂Cl₂/MeOH/NH₄OH 10:1:0.05) after 2 hours showed a single major product (Rf=0.66). The reaction was cooled to room temperature, poured into H₂O (75 mL) containing NH₄OH (1.5 mL) and extracted with CHCl₃ (3×30 mL). The combined organic layers were washed with H₂O (30 mL) containing NH₄OH (1.5 mL), dried over Na₂SO₄ and the solvent evaporated to give a white residue. The crude was purified on a silica gel column eluting with CH₂Cl₂/MeOH/NH₄OH 18:1:0.05 to 10:1:0.05 to provide compound 2 (0.41 g, 55%).

Synthesis of alkynyl macrolide M1

A mixture of 3′-N-desmethylazithromycin 2 and tosylate 11 in Hunig's base was stirred. The reaction mixture was diluted to EtOAc and washed with NaHCO₃(aq) and with brine. The organic layer was dried over K₂CO₃ and the solvent was evaporated to give product. The crude product was purified on silica gel column to give M1 as a white solid.

Synthesis of alkynyl macrolide M3

Synthesis of 3′-N-desmethyl-clarithromycin 21

To a mixture of clarithromycin (1.00 g, 1.3 mmol) and NaOAc.3H₂O (0.885 g, 6.5 mmol) was added MeOH-H₂O (20 mi., 4:1), and the mixture heated to 55-60° C. Iodine (0.330 g, 1.3 mmol) was added portion-wise and the reaction stirred at 55-60° C. for 3 h. The reaction mixture was poured into 50 mL CHCl₃ containing 1 mL ammonium hydroxide. It was extracted with CHCl₃ (4×50 mL), washed with water (70 mL) containing 5 mL ammonium hydroxide, dried (anhydrous Na₂SO₄), concentrated, and purified by flash chromatography (silica gel, CHCl₃:MeOH:NH₄OH 100:10:0.1) to afford 21. Yield: 0.9 g (92%).

Synthesis of Alkynyl Macrolide M3

A mixture of 3′-N-desmethyl-clarithromycin 21 and tosylate 11 in anhydrous THY and Hunig's base was stirred. The reaction was poured into CH₂Cl₂, extracted with 2% aqueous NH₄OH and saturated brine. The organic layer was dried over Na₂SO₄ and the solvent was evaporated away. The crude was purified on a silica gel column to give M3.

Synthesis of Alkynyl Macrolide M14

Alkynyl macrolide M14 is made using a procedure analogous to that for making M3, starting from erythromycin A. The 3′-N-desmethyl-erythromycin A intermediate is made using a procedure described in U.S. Pat. No. 3,725,385, to Freiberg, issued Apr. 3, 1973. Alkynyl macrolide M14 can further be used to prepare a variety of macrolides analogous to those already depicted for the clarithromycin core.

A mixture of 3′-N-desmethyl-erythromycin (1.0 g, 1.4 mmol) and the tosylate of 1-Butyn-4-ol (1.25 g, 5.6 mmol) in anhydrous THF (15 mL) and Hunig's base (2.2 mL, 11.9 mmol) was kept stirring at 55° C. for 48 hours. The reaction was poured into CH₂Cl₂ (50 mL), extracted with 2% aqueous NH₄OH (3×30 mL) and saturated brine (1×30 mL). The organic layer was dried over Na₂SO₄ and the solvent was evaporated away. The crude was purified on a silica gel column eluting with CH₂Cl₂/MeOH 10:1 to give alkynyl macrolide 14 (0.35 g, 32%).

Synthesis of Alkynyl Macrolides M4, M9, M10, M11 and M12

The synthesis of alkynyl macrolides M4, M9, M10, M11 and M12 are depicted in the scheme below. Alkynyl macrolide M9 is prepared from the removal of the cladinose sugar of alkynyl macrolide M3 under acidic conditions. Alkynyl macrolide M10 is made by the aceylation of macrolide M9. Macrolide M4 is made by the oxidation of the hydroxyl group of macrolide M10. Alkynyl macrolides M11 and M12 are made by converting a keto group of alkynyl macrolide M4 to the desired oximes. The oxime functionality of alkynyl macrolides of precursors with substituted oxime functionality at the 9-position of the macrocyclic ring were prepared from alkyne M3 and as shown below.

Synthesis of alkynyl macrolide M9

To the alkynyl macrolide M3 (0.700 g) was added 10 mL 0.9N HCl and the mixture was stirred for 4 h at room temperature. The reaction mixture was saturated with sodium chloride and was adjusted to pH 8 using aqueous NH₄OH solution. The solution was extracted with ethyl acetate (3×30 mL), dried (with Na₂SO₄), and concentrated under reduced pressure. Purification of the crude reaction mixture by flash chromatography (silica gel, 60% ethyl acetate in hexane) afforded 0.200 g (35% yield) of the descladinose alkynyl macrolide M9. Data for M9; ¹HNMR (300 MHz, CDCl₃, partial): δ 0.82 (t, 3H), 2.25 (s, 3H), 3.00 (s, 3H), 3.25 (dd, 1H), 3.55 (m, 2H), 3.70 (s, 1H), 3.85 (s, 1H), 3.95 (s, 1H), 4.40 (d, 1H), 5.15 (dd, 1H).

Synthesis of Alkynyl Macrolide M5

A solution of alkynyl macrolide M4 (1 g, 1.5 mmol) in MeOH (30 mL) was refluxed for 12 h. The solution was concentrated and the crude material was purified by flash chromatography over silica gel (50% ethyl acetate in hexane). Yield: 0.5 g of M5 (53%).

Synthesis of alkynyl macrolide M10

To a solution of alkynyl macrolide M9 (0.200 g, 0.32 mmol) in acetone (2 mL) was added acetic anhydride (0.050 mL, 0.5 mmol) and the mixture was stirred overnight at room temperature. The reaction was quenched with water and extracted with ethyl acetate (3×50 mL). The combined organic fractions were washed with saturated sodium bicarbonate (3×50 mL), dried (anhydrous Na₂SO₄), and concentrated under reduced pressure. The crude reaction mixture was purified by flash chromatography (silica gel, 50% ethyl acetate in hexane) to yield 0.100 g (50% yield) of acetate functionalized alkynyl macrolide M10. Data for M10: ¹HNMR (300 MHz, CDCl₃, partial): δ 0.84 (t, 3H), 2.00 (s, 3H), 2.20 (s, 3H), 2.90 (s, 3H), 3.00 (q, 1H), 3.25 (s, 1H, 3.47 (m, 2H), 3.70 (bs, 1H), 3.82 (bs, 1H), 3.97 (s, 1H), 4.60 (d, 1H), 4.77 (dd, 1H), 5.15 (dd, 1H).

Synthesis of alkynyl macrolide M4

To a solution of alkynyl macrolide M10 (0.090 g, 0.134 mmol), BDC.HCl (0.172 g, 0.90 mmol), and DMSO (0.171 mL, 2.41 mmol) in CH₂Cl₂ (1.5 mL) was added dropwise a solution of pyridinium trifluoroacetate (0.174 g, 0.90 mmol) in CH₂Cl₂ (1 mL) at 15° C. The reaction mixture was slowly warmed up to room temperature and stirred for 3 h. The reaction was quenched with water (2 mL), and allowed to stir for 30 min. The mixture was then poured into CHCl₃ (50 mL), and the organic layer was washed with water (2×50 mL), dried (over anhydrous Na₂SO₄), and concentrated under reduced pressure. The crude material was purified by flash chromatography (silica gel, 30% ethyl acetate in hexane) to yield 0.070 g (78%) of the alkynyl macrolide M4 (also commonly referred to as a ketolide). Data for M4:M4 MS (ESI) m/e 668 (M+H)⁺; ¹HNMR (300 MHz, CDCl₃, partial): δ 0.86 (t, 3H), 2.00 (s, 3H), 2.24 (s, 3H), 2.70 (s, 3H), 2.95-3.10 (m, 1H), 3.15-3.05 (m, 1H), 3.45-3.65 (m, 1H), 3.80 (q, 1H), 3.90 (s, 1H), 4.28 (d, 1H), 4.40 (d, 1H), 4.76 (dd, 1H), 5.10 (dd, 1H).

Synthesis of alkynyl macrolide M11

To a solution of M4 (2.0 g, 2.9 mmol) in MeOH (10 mL) was added (R)—N-Piperidin-3-yl-hydroxylamine hydrobromide (1.26 g, 4.4 mmol). The reaction mixture was stirred at rt for 14 h. The mixture was then poured into (50 mL) and water (50 mL) the pH was adjusted to 11 by addition of NH₄OH and the organic layer was separated and washed with brine (50 mL), dried (over anhydrous Na₂SO₄), and concentrated under reduced pressure. The crude material was purified by flash chromatography (silica gel, 12:1 CH₂Cl₂ and 2M methanolic ammonia) to yield 2 g (78%) of the oxime functionalized alkynyl macrolide M11 as a 1:1 mixture of E/Z isomers. Data for M11: MS (ESI) m/e 724.7 (M+H)⁺.

Synthesis of Alkynyl Macrolide M12

Alkynyl macrolide M12 was synthesized from alkynyl macrolide M4 and (R)—N-Pyrollidin-3-yl-hydroxylamine hydrobromide using the conditions described above for the synthesis of alkynyl macrolide M11. Data for M12: MS (ESI) m/e 710.6 (M+H)⁺.

Synthesis of Alkynyl Macrolides M13, M16, M17, and M18

Alkynyl macrolides M13, M16, and M17 are also synthesized from alkynyl macrolide M4. Alkynyl macrolide M18 is synthesized from alkynyl macrolide M17. The syntheses are outlined in the following reaction scheme.

Synthesis of alkynyl macrolide M13

Alkynyl macrolide M13 was synthesized from alkynyl macrolide M4 and N-[2-dimethtylaminoethyl]-hydroxylamine hydrobromide using the conditions described above for the synthesis of oxime M11. Data for M13: MS (ESI) m/e 726.5 (M+H)⁺.

Synthesis of alkynyl macrolide M16

Alkynyl macrolide M16 was synthesized from alkyne M4 and N-Piperidin-4-yl-hydroxylamine hydrobromide using the conditions described above for the synthesis of oxime M11. Data for M16: MS (ESI) m/e 724.6 (M+H)⁺.

Synthesis of alkynyl macrolide M17

Alkynyl macrolide M17 was synthesized from alkyne M4 and cis-4-aminocylcohexyl-hydroxylamine hydrobromide using the conditions described above for the synthesis of oxime M11. Data for M17: MS (ESI) m/e 738.7 (M+H)⁺.

Synthesis of alkynyl macrolide M18

To a solution of alkynyl macrolide M17 (20 mg, 0.02 mmol) in CHCl₃ (0.2 mL) was added formaldehyde (5 mg of 37% aqueous solution, 0.06 mmol) and formic acid (6 mg, 0.12 mmol). The mixture was heated at 50° C. in a sealed tube for 12 h. The reaction mixture was partitioned between aqueous NaHCO₃ (10 mL) and chloroform (10 mL) the organic fraction was dried on K₂CO₃, filtered and concentrated to give alkynyl macrolide M18 as a white solid (18 mg). Data for M18: MS (ESI) m/e 766.7 (M+H)⁺.

Synthesis of Alkynyl Macrolide M15

Telithromycin was selectively N-demethylated and then alkylated with the tosylate of 1-butyn-4-ol as described for azithromycin, erythromycin and clarithromycin above.

Synthesis of 3′-N-Desmethyl telithromycin 30

To a solution of telithromycin 29 (3.0 g, 3.60 mmol) in anhydrous acetonitrile (70 mL) was added N-iodosuccinimide (NIS) (0.98 g; 4.32 mmol) in two portions within 30 min at 0° C. under argon atmosphere. The mixture was allowed to warm to rt and stirred overnight. CH₂Cl₂ (250 mL) and 5% Na₂S₂O₃ (80 mL) were added and the two layers separated. The organic layer was extracted with 5% Na₂S₂O₃ (1×80 mL); dilute NH₄Cl (1×80 mL) and dried over Na₂SO₄. Solvent was evaporated and the crude was purified on silica gel eluting with 0-8% methanolic ammonia (2N NH₃) in CH₂Cl₂ to give compound 30 as white solid (1.95 g, 68%). MS (ESI) M/E; M+H⁺ 798.6.

Synthesis of 3′-N-(but-3-ynyl) telithromycin, M15

Protocol A:

A mixture of amine 30 (0.66 g, 0.83 mmol) and tosylate 11 (0.33 g, 1.49 mmol) in THF (15 mL) and Hunig's base (3 mL) was heated at 90° C. for 5 days. The solvent was evaporated; the residue was dissolved in 1N HCl (50 mL) and kept stirring at room temperature for about 1 h. CH₂Cl₂ (30 mL) was added and the two layers were separated. The aqueous layer was extracted with CH₂Cl₂ (2×30 mL) and basified with NaOH (1N) to form a whitish-suspension. The suspension was extracted with CH₂Cl₂ (3×30 mL) and the organic layer was dried over Na₂SO₄. Solvent was evaporated and the crude was purified on silica gel eluting with 0-6% methanolic ammonia (2N NH₃) in CH₂Cl₂ to give compound M15 as white solid (0.12 g, 17%). MS (ESI) m/e 850.8 (M+H)⁺.

Synthesis of 3′-N-(but-3-ynyl) telithromycin, M15

Protocol B:

A mixture of amine 30 (0.66 g, 0.83 mmol), and tosylate 11 (0.40 g, 1.84 mmol) in acetonitrile (10 mL) and Hunig's base (0.18 mL, 1.0 mmol) was microwave heated to 90° C. within 10 min and maintained at 90° C. for 1.5 h. The reaction was vented within 15 min and solvent was evaporated. The residue was dissolved in 1N HCl (60 mL) and kept stirring at room temperature for about 2 h. CH₂Cl₂ (30 mL) was added and the two layers were separated. The aqueous layer was extracted with CH₂Cl₂ (2×30 mL) and basified with 50% KOH to form a whitish-suspension. The suspension was extracted with CH₂Cl₂ (3×30 mL) and the organic layer was dried over Na₂SO₄. The solvent was evaporated and the crude was purified by preparative TLC (2000 micron plate) eluting with CH₂Cl₂/methanolic ammonia (2N NH₃) 12:1 to give compound M15 as white solid (0.19 g, 27%):MS (EST) m/e 850.8 (M+H)⁺.

Synthesis of Alkynyl Macrolide M19

Desmethyl telithromycin 30 was treated according to the procedures of U.S. Pat. No. 6,124,269 to afford the 2-fluoro amine 30a. This was then alkylated with the tosylate of 1-butyn-4-ol under the conditions for making M15 to afford the fluorinated alkynyl macrolide M19. The reactions are outlined in the following scheme.

Synthesis of Alkynyl Macrolides M20, M21, M22, and M23

Alkynyl macrolides M21, M22, and M23 are prepared according to the following reaction scheme from alkynyl macrolide M20, Alkynyl macrolide M20 is in turn made from alkynyl macrolide M14.

Synthesis of alkynyl macrolide M20

To a mixture of alkynyl macrolide M14 (1 g, 1.3 mmol) and hydroxylamine hydrochloride (0.4 g, 6.4 mmol) was added methanol (15 mL) and triethylamine (3.2 mmol). The solution was refluxed for 72 h. Cooled to ambient temperature, poured into water (50 mL) and adjusted pH to 11. The resulting solution was extracted with dichloromethane (4×50 mL), dried and concentrated. The crude material was purified by flash chromatography over silica gel to yield M20 (C₂Cl₂:2N NH₃-MeOH=10:1). Yield: 0.6 g (60%).

Synthesis of Alkynyl Macrolide M21

To a solution of alkynyl macrolide M20 (2.00 g, 2.54 mmol) in THE (17 mL) at 0° C. was added Et₃N (1.50 mL, 10.67 mmol), followed by addition of acetic anhydride (946 μL, 9.91 mmol), then, DMAP (34 mg, 0.25 mmol). The mixture was stirred at 0° C. for 3H, then, Et₃N (150 μL, 1.07 mmol) and acetic anhydride (95 μL, 0.99 mmol) were added. The mixture was stirred for 3 h, then, MeOH (2.0 ml) was added. The reaction mixture was concentrated and EtOAc (100 mL) was added, washed with saturated NaHCO₃ (30.0 mL), then, brine (30.0mL), dried with Na₂SO₄, gave 2.28 g of alkynyl macrolide M21. The residue was used for the next step without further purification. MS (ESI) We 913 (M+H)⁺.

Synthesis of Alkynyl Macrolide M22

To a solution of triacetate alkynyl M21 (913 mg, 1.00 mmol; Crude), 2-methylene-1,3-propane-[bis-(tert-butyl)carbonate) (865 mg, 3.00 mmol) and 1,4-bis(diphenylphosphino)-butane (dppb) (305 mg, 0.70 mmol) in THF (10 mL, degassed) was added Pd₂(dba)₃ (92 mg, 0.10 mmol) at room temperature. The mixture was refluxed for 12 h, then, the reaction mixture was concentrated and EtOAc (100 mL) was added. Washed with saturated NaHCO₃ (30mL), brine (30 mL), dried with Na₂SO₄, The residue was isolated by silica gel chromatography (CH₂Cl₂ to 2% MeOH in CH₂Cl₂ containing 0.2% NH₄OH), gave 340 mg of alkynyl macrolide M22 in 35% yield for two steps. MS (ESI) m/e 966 (M+H)⁺.

Synthesis of Alkynyl Macrolide M23

Alkynyl macrolide M22 (330 mg, 0.34 mmol) in MeOH (6 mL), was refluxed for 5 days. The residue was isolated by FC (CH₂Cl₂ to 2% MeOH in CH₂Cl₂ containing 0.2% NH₄OH), gave 143 mg of alkynyl macrolide M23 in 50% yield.

MS (ESI) m/e 839 (M+H)⁺.

Synthesis of Alkynyl Macrolide M24

To a solution of alkynyl macrolide M4 (6.4 g, 9.6 mmol) in pyridine (25 mL) was added methanesulfonic anhydride (4.0 g, 22.9 mmol) at 10° C. The reaction was stirred at ambient temperature for 24 h. The solution was concentrated and portioned between ethyl acetate (150 mL) and saturated NaHCO₃ solution (150 mL). Organic layer was separated and the aqueous layer was back extracted with ethyl acetate (2×100 mL). The combined organic layer was washed with brine (2×150 mL), dried and concentrated. The crude material was purified by flash chromatography over silica gel (50% ethyl acetate in hexane) to give 5.9 g of M24 (83%).

Synthesis of Alkynyl Macrolide M25

To a solution of alkynyl macrolide M24 (5.9 g, 7.9 mmol) in acetone (25 mL) was added diazabicycloundecene (DBU) (1.4 mL, 9.5 mmol) at ambient temperature. After stirring for 48 h, the reaction was diluted with methylene chloride, washed with water, dried and concentrated in vacuo. The crude material was purified by flash chromatography over silica gel (40% ethyl acetate in hexanes). Yield 3.6 g M25 (70%).

Synthesis of Alkynyl Macrolide M26

To a solution of M25 (3.3 g, 5.0 mmol) in Methylene chloride (30 mL) was added DBU (1.0 mL, 6.5 mmol) at 0° C. Then was added carbonyldiimidazole (1:0 g, 6.1 mmol) at once. After stirring for 3 h, the reaction was diluted with methylene chloride, washed with water, dried and concentrated in vacuo: The crude material was purified by flash chromatography dyer silica gel (70% ethyl acetate in hexanes). Yield 3.4 g M26 (89%).

Synthesis of Alkynyl Macrolide M27

Alkynyl macrolide M27 is made from alkynyl macrolide M23 by reduction of the oxime to the imine followed by acetylation of the compound, which is then oxidized to give the bridged ketone. The cladinose sugar is then hydrolyzed by treatment with dilute hydrochloric acid.

Synthesis of Alkynyl Macrolide M28

Alkynyl macrolide M28 is made by refluxing alkynyl macrolide M27 with the following hydroxyl amine compound in methanol.

Synthesis of Alkynyl Macrolide M2

A mixture of M26 (1.48 g, 2.0 mmol) and hydrazine (0.65 mL, 20 mmol) in acetonitrile (40 mL) and water (6 mL) was heated to 50° C. After 5 h the solution was concentrated and refluxed with MeOH (100 mL) for 20 h. The solution was concentrated and the crude material was purified by flash chromatography over silica gel (60% ethyl acetate in hexane). Yield: 0.8 g M2 (60%).

Synthesis of Alkynyl Macrolides M6, M7, and M8

Alkynyl macrolides M6, M7, and M8 are made from M26 (using a procedure analogous to that for making M2, in which the hydrazine is replaced with methyl amine, ammonium hydroxide, and ethanol amine respectively.

Synthesis of Azide Compounds

The organic azide compounds used in the synthesis of the compounds of the present invention are generally prepared from the iodo compound 2 or the boronic acid ester compound 3. Typically, the iodo or boronic acid functional groups provide a means for preparing a wide range of compounds using methods available to one skilled in the art.

The iodo compound 2, is prepared according to the following scheme from commercially available (1R,2R)-(−)-2-amino-1-(4-nitrophenyl)-1,3-propanediol. The boronic acid ester compound 3 is prepared from the iodo compound 2.

The following reaction scheme illustrates various azide compounds that can be made from iodo compound 2. R^(a), R^(b), R^(c), and R^(d) represent various alkyl, substituted alkyl, aryl, and substituted aryl groups.

Synthesis of Compounds 131, 132, 172, 173, 174, 175, 182, 185, 199, 201, 203, and 205

As described above, compounds 131, 132, 172, 173, 174, 175, 182, 185, 199, 201, 203, and 205, as well as other similar compounds, are prepared from the cycloaddition reaction of the desired alkynyl macrolide and nitro phenyl azide to form a resulting nitro phenyl macrolide compound. This nitro phenyl macrolide is then further converted to an azide group, via reduction to an amine. The azide is a common intermediate which is then reacted with an appropriately functionalized alkyne in a second cycloaddition reaction to form the desired compound. Table 4, below shows the corresponding alkynes used in the preparation of compounds 131, 132, 172, 173, 174, 175, 182, 185, 199, 201, 203, and 205. It should be noted in the case of compound 132 that the TMS-acetylene is used as the alkyne and the TMS group is then subsequently removed under standard conditions.

TABLE 4 Compound Alkyne 131

132

172

173

174

175

182

185

199

201

203

205

INCORPORATION BY REFERENCE

The entire disclosure of each of the patent documents and scientific articles referred to herein is incorporated by reference for all purposes.

EQUIVALENTS

The invention can be embodied in other specific forms without departing from the spirit or essential characteristics thereof. The foregoing embodiments are therefore to be considered in all respects illustrative rather than limiting on the invention described herein. Scope of the invention is thus indicated by the appended claims rather than by the foregoing description, and all changes that come within the meaning and range of equivalency of the claims are intended to be embraced therein. 

What is claimed is:
 1. A compound having the structure:

or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein A is selected from -(a) a C₁₋₆ alkyl group, (b) a C₂₋₆ alkenyl group, (c) a C₂₋₆ alkynyl group, (d) a C₃₋₁₂ saturated, unsaturated, or aromatic carbocycle, (e) a 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more nitrogen, oxygen or sulfur atoms, (f) H, (g) —OH, (h) —SH, (i) F, (j) Cl, (k) Br, (l) I, (m) —CF₃, (n) —CN, (o) —N₃, (p) —NO₂, (q) —NR⁶(CR⁶R⁶)_(t)R⁹, (r) —OR⁹, (s) —S(CR⁶R⁶)_(t)R⁹, (t) —S(O)(CR⁶R⁶)_(t)R⁹, (u) —S(O)₂(CR⁶R⁶)_(t)R⁹ (v) —C(O)(CR⁶R⁶)_(t)R⁹, (w) —OC(O)(CR⁶R⁶)_(t)R⁹, (x) —OC(O)O(CR⁶R⁶)_(t)R⁹, (y) —SC(O)(CR⁶R⁶)_(t)R⁹, (z) —C(O)O(CR⁶R⁶)_(t)R⁹, (aa) —NR⁶C(O)(CR⁶R⁶)_(t)R⁹, (bb) —C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (cc) —C(═NR⁶)(CR⁶R⁶)_(t)R⁹, (dd) —C(═NNR⁶R⁶)(CR⁶R⁶)_(t)R⁹, (ee) —C[═NNR⁶C(O)R⁶](CR⁶R⁶)_(t)R⁹, (ff) —NR⁶C(O)O(CR⁶R⁶)_(t)R⁹, (gg) —OC(O)NR⁶(CR⁶R⁶)e, (hh) —NR⁶C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (ii) —NR⁶S(O)_(p)(CR⁶R⁶)_(t)R⁹, (jj) —S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (kk) —NR⁶R⁶, (ll) —NR⁶(CR⁶R⁶)_(t)R⁹, (mm) —SR⁶, (nn) —S(O)R⁶, (oo) —S(O)₂R⁶, (pp) —NR⁶C(O)R⁶, (qq) —Si(R¹³)₃, and (rr) —C(═O)H; wherein (a)-(e) optionally are substituted with one or more R¹⁴ groups; T is a 14- or 15-membered macrolide connected via a macrocyclic ring carbon atom; X is selected from —OR¹⁵ and —SR¹⁵, R¹ and R³ independently are selected from: (a) H, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a C₂₋₆ alkynyl group, (e) —C(O)R⁵, (f) —C(O)OR⁵, (g) —C(O)—NR⁴R⁴, (h) —C(S)R⁵, (i) —C(S)OR⁵, (j) —C(O)SR⁵, and (k) —C(S)—NR⁴R⁴; Alternatively, R¹ and R³ are taken together with the oxygen to which R¹ is attached, the nitrogen to which R³ is attached and the two intervening carbons to form a 5 or 6 membered ring, said ring being optionally substituted with one or more R⁵; R² is hydrogen or —OR¹²; R⁴, at each occurrence, independently is selected from: (a) H, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a C₂₋₆ alkynyl group, (e) a C₆₋₁₀ saturated, unsaturated, or aromatic carbocycle, (f) a 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, (g) —C(O)—C₁₋₆ alkyl, (h) —C(O)—C₂₋₆ alkenyl, (i) —C(O)C₂₋₆ alkynyl, (j) —C(O)—C₆₋₁₀ saturated, unsaturated, or aromatic carbocycle, (k) —C(O)-3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, (l) —C(O)O—C₁₋₆ alkyl, (m) —C(O)O—C₂₋₆ alkenyl, (n) —C(O)O—C₂₋₆ alkynyl, (o) —C(O)O—C₆₋₁₀ saturated, unsaturated, or aromatic carbocycle, (p) —C(O)O-3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, and (q) —C(O)NR⁶R⁶, wherein any of (b)-(p) optionally is substituted with one or more R⁵ groups; alternatively, NR⁶R⁶ forms a 3-7 membered saturated, unsaturated or aromatic ring including the nitrogen atom to which the R⁶ groups are attached, wherein said ring is optionally substituted at a position other than the nitrogen atom to which the R⁶ groups are attached, with one or more substituents selected from O, S(O)_(p), N, and NR⁸; R⁵ is selected from: (a) R⁷, (b) a C₁₋₈ alkyl group, (c) a C₂₋₈ alkenyl group, (d) a C₂₋₈ alkynyl group, (e) a C₃₋₁₂ saturated, unsaturated, or aromatic carbocycle, and (f) a 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, or two R⁵ groups, when present on the same carbon atom can be taken together with the carbon atom to which they are attached to form a spiro 3-6 membered carbocyclic ring or heterocyclic ring containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (b)-(f) immediately above optionally is substituted with one or more R⁷ groups; R⁶, at each occurrence, independently is selected from: (a) H, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a C₂₋₆ alkynyl group, (e) a C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (f) a 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (b)-(f) optionally is substituted with one or more moieties selected from: (aa) a carbonyl group, (bb) a formyl group, (cc) F, (dd) Cl, (ee) Br, (ff) I, (gg) CN, (hh) NO₂, (ii) —OR⁸, (jj) —S(O)_(p)R⁸, (kk) —C(O)R⁸, (ll) —C(O)OR⁸, (mm) —OC(O)R⁸, (nn) —C(O)NR⁸R⁸, (oo) —OC(O)NR⁸R⁸, (pp) —C(═NR⁸)R⁸, (qq) —C(R⁸)(R⁸)OR⁸, (rr) —C(R⁸)₂OC(O)R⁸, (ss) —C(R⁸)(OR⁸)(CH₂)_(r)NR⁸R⁸, (tt) —NR⁸R⁸, (uu) —NR⁸OR⁸, (vv) —NR⁸C(O)R⁸, (ww) —NR⁸C(O)OR⁸, (xx) —NR⁸C(O)NR⁸R⁸, (yy) —NR⁸S(O)_(r)R⁸, (zz) —C(OR⁸)(OR⁸)R⁸, (ab) —C(R⁸)₂NR⁸R⁸, (ac) ═NR⁸, (ad) —C(S)NR⁸R⁸, (ae) —NR⁸C(S)R⁸, (af) —OC(S)NR⁸R⁸, (ag) —NR⁸C(S)OR⁸, (ah) —NR⁸C(S)NR⁸R⁸, (ai) —SC(O)R⁸, (aj) a C₁₋₈ alkyl group, (ak) a C₂₋₈ alkenyl group, (al) a C₂₋₈ alkynyl group, (am) a C₁₋₈ alkoxy group, (an) a C₁₋₈ alkylthio group, (ao) a C₁₋₈ acyl group, (ap) —CF₃, (aq) —SCF₃—, (ar) a C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (as) a 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur; alternatively, NR⁶R⁶ focus a 3-10 membered saturated, unsaturated or aromatic ring including the nitrogen atom to which the R⁶ groups are attached wherein said ring is optionally substituted at a position other than the nitrogen atom to which the R⁶ groups are bonded, with one or more moieties selected from —O, S(O)_(p), N, and NR⁸; alternatively, CR⁶R⁶ forms a carbonyl group; R⁷, at each occurrence, is selected from: (a) H, (b) ═O, (c) ═S, (d) F, (e) Cl, (f) Br, (g) I, (h) —CF₃, (i) —CN, (j) —N₃, (k) —NO₂, (l) —NR⁶(CR⁶R⁶)_(t)R⁹, (m) —OR⁹, (n) —S(O)_(p)C(R⁶R⁶)_(t)R⁹, (o) —C(O)(CR⁶R⁶)_(t)R⁹, (p) —OC(O)(CR⁶R⁶)_(t)R⁹, (q) —SC(O)(CR⁶R⁶)_(t)R⁹, (r) —C(O)O(CR⁶R⁶)_(t)R⁹, (s) —NR⁶C(O)(CR⁶R⁶)_(t)R⁹, (t) —C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (u) —C(═NR⁶)(CR⁶R⁶)_(t)R⁹, (v) —C(═NNR⁶R⁶)(CR⁶R⁶)_(t)R⁹, (w) —C(—NNR⁶C(O)R⁶)(CR⁶R⁶)_(t)R⁹, (x) —C(═NOR⁹)(CR⁶R⁶)_(t)R⁹, (y) —NR⁶C(O)O(CR⁶R⁶)_(t)R⁹, (z) —OC(O)NR⁶(CR⁶R⁶)_(t)R⁹, (aa) —NR⁶C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (bb) —NR⁶S(O)_(p)(CR⁶R⁶)_(t)R⁹, (cc) —S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (dd) —NR⁶S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (ee) —NR⁶R⁶, (ff) —NR⁶(CR⁶R⁶), (gg) —OH, (hh) —NR⁶R⁶, (ii) —OCH₃, (jj) —S(O)_(p)R⁶, (kk) —NC(O)R⁶, (ll) a C₁₋₆ alkyl group, (mm) a C₂₋₆ alkenyl group, (nn) a C₂₋₆ alkynyl group, (oo) —C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (pp) 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (ll)-(pp) optionally is substituted with one or more R⁹ groups; alternatively, two R⁷ groups taken together form —O(CH₂)_(u)O—; R⁸ is selected from: (a) H, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a C₂₋₆ alkynyl group, (e) a C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, (f) a 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, (g) —C(O)—C₁₋₆ alkyl, (h) —C(O)—C₁₋₆ alkenyl, (i) —C(O)—C₁₋₆ alkynyl, —C(O)—C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (k) —C(O)-3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from -nitrogen, oxygen, and sulfur, wherein any of (c)-(k) optionally is substituted with one or more moieties selected from—: (aa) H, (bb) F, (cc) Cl, (dd) Br, (ee) I, (ff) CN, (gg) NO₂, (hh) OH, (ii) NH₂, (jj) NH(C₁₋₆ alkyl), (kk) N(C₁₋₆ alkyl)₂, (ll) a C₁₋₆ alkoxy group, (mm) an aryl group, (nn) a substituted aryl group, (oo) a heteroaryl group, (pp) a substituted heteroaryl group, and (qq) a C₁₋₆ alkyl group optionally substituted with one or more moieties selected from an aryl group, a substituted aryl group, a heteroaryl group, a substituted heteroaryl group, F, Cl, Br, I, CN, NO₂, CF₃, SCF₃, and OH; R⁹, at each occurrence, independently is selected from: (a) R¹⁰, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a C₂₋₆ alkynyl group, (e) a C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (f) a 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (b)-(f) optionally is substituted with one or more R¹⁶ groups; R¹⁰, at each occurrence, independently is selected from: (a) H, (b) ═O, (c) F, (d) Cl, (e) Br, (f) I, (g) —CF₃, (h) —CN, (i) —NO₂, (j) —NR⁶R⁶, (k) —OR⁶, (l) —S(O)_(p)R⁶, (m) —C(O)R⁶, (n) —C(O)OR⁶, (o) —OC(O)R⁶, (p) NR⁶C(O)R⁶, (q) —C(O)NR⁶R⁶, (r) —C(═NR⁶)R⁶, (s) —NR⁶C(O)NR⁶R⁶, (t) —NR⁶S(O)_(p)R⁶, (u) S(O)_(p)NR⁶R⁶, (v) —NR⁶S(O)_(p)NR⁶R⁶, (w) a C₁₋₆ alkyl group, (x) a C₂₋₆ alkenyl group, (y) a C₂₋₆ alkynyl group, (z) a C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (aa) a 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (w)-(aa) optionally is substituted with one or more moieties selected from R⁶, F, Cl, Br, I, CN, NO₂, —OR⁶, —NH₂, —NH(C₁₋₆ alkyl), —N(C₁₋₆ alkyl)₂, a C₁₋₆ alkoxy group, a C₁₋₆ alkylthio group, and a C₁₋₆ acyl group; R¹¹ at each occurrence, independently is selected from: (a) H, (b) F, (c) Cl, (d) Br, (e) I, (f) CN, (g) NO₂, (h) OR⁸, (i) —S(O)_(p)R⁸, (j) —C(O)R⁸, (k) —C(O)OR⁸, (l) —OC(O)R⁸, (m) —C(O)NR⁸R⁸, (n) —OC(O)NR⁸R⁸, (o) —C(═NR⁸)R⁸, (p) —C(R⁸)(R⁸)OR⁸, (q) —C(R⁸)₂OC(O)R⁸, (r) —C(R⁸)(OR⁸)(CH₂)_(r)—NR⁸R⁸, (s) —NR⁸R⁸, (t) —NR⁸OR⁸, (u) —NR⁸C(O)R⁸, (v) —NR⁸C(O)OR⁸, (w) —NR⁸C(O)NR⁸R⁸, (x) —NR⁸S(O)_(p)R⁸, (y) —C(OR⁸)(OR⁸)R⁸, (z) —C(R⁸)₂NR⁸R⁸, (aa) —C(S)NR⁸R⁸, (bb) —NR⁸C(S)R⁸, (cc) —OC(S)NR⁸R⁸, (dd) —NR⁸C(S)OR⁸, (ee) —NR⁸C(S)NR⁸R⁸, (ff) —SC(O)R⁸, (gg) —N₃, (hh) —Si(R¹³)₃, (ii) a C₁₋₈ alkyl group, (jj) a C₂₋₈ alkenyl group, (kk) a C₂₋₈ alkynyl group, (ll) a C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (mm) a 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein (ii)-(mm) optionally are substituted with one or more R⁵ groups; R¹² is selected from: (a) H, (b) a C₁₋₆ alkyl group, (c) a C₂₋₆ alkenyl group, (d) a C₂₋₆ alkynyl group, (e) —C(O)R⁵, (f) —C(O)OR⁵, (g) —C(O)—NR⁴R⁴, (h) —C(S)R⁵, (i) —C(S)OR⁵, (j) —C(O)SR⁵, (k) —C(S)—NR⁴R⁴, (l) a C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, (m) a 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, (n) a —(C₁₋₆ alkyl)-C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (o) a —(C₁₋₆ alkyl)-3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from -nitrogen, oxygen, and sulfur, wherein (a)-(d) and (l)-(o) optionally are substituted with one or more R⁵ groups; R¹³ at each occurrence, is independently selected from (a) —C₁₋₆ alkyl and (b) —O—(C₁₋₆ alkyl); R¹⁴ at each occurrence is independently selected from: (a) H, (b) F, (c) Cl, (d) Br, (e) I, (f) CN, (g) NO₂, (h) OR⁸, (i) —S(O)_(p)R⁸, (j) —C(O)R⁸, (k) —C(O)OR⁸, (l) —OC(O)R⁸, (m) —C(O)NR⁸R⁸, (n) —OC(O)NR⁸R⁸, (o) —C(═NR⁸)R⁸, (p) —C(R⁸)(R⁸)OR⁸, (q) —C(R⁸)₂OC(O)R⁸, (r) —C(R⁸)(OR⁸)(CH₂)_(r)NR⁸R⁸, (s) —NR⁸R⁸, (t) —NR⁸OR⁸, (u) —NR⁸C(O)R⁸, (v) —NR⁸C(O)OR⁸, (w) —NR⁸C(O)NR⁸R⁸, (x) —NR⁸S(O)_(p)R⁸, (y) —C(OR⁸)(OR⁸)R⁸, (z) —C(R⁸)₂NR⁸R⁸, (aa) —C(S)NR⁸R⁸, (bb) —NR⁸C(S)R⁸, (cc) —OC(S)NR⁸R⁸, (dd) —NR⁸C(S)OR⁸, (ee) —NR⁸C(S)NR⁸R⁸, (ff) —SC(O)R⁸, (gg) —N₃, (hh) —Si(R¹³)₃, (ii) a C₁₋₈ alkyl group, (jj) a C₂₋₈ alkenyl group, (kk) a C₂₋₈ alkynyl group, (ll) a C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (mm) a 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein (ii)-(mm) optionally are substituted with one or more R⁵ groups; alternatively two R¹⁴ groups are taken together to form (a) ═O, (b) ═S, (c) ═NR⁸, (e) ═NOR⁸; R¹⁵ is C₁₋₆ alkyl, optionally substituted with from 1 to 13 fluorine atoms; n at each occurrence is 0, 1, 2, 3, or 4 p at each occurrence is 0, 1, or 2; r at each occurrence is 0, 1, or 2; t at each occurrence is 0, 1, or 2; and u at each occurrence is 1, 2, 3, or
 4. 2. The compound according to claim 1 having the structure:

or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof.
 3. The compound according to claim 1 having the structure:

or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof.
 4. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide or prodrug thereof, wherein R¹⁵ is C₁₋₃ alkyl, optionally substituted with from 1 to 7 fluorines.
 5. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide or prodrug thereof, wherein R¹⁵ is selected from —CH₃, —CH₂F, —CHF₂, and —CF₃.
 6. The compound according to claim 1 having the structure:

or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof.
 7. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein n is 1 or
 2. 8. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein n is
 1. 9. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein R¹¹ is F.
 10. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein n is
 0. 11. A compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein A is selected from: (a) a C₁₋₆ alkyl group, (b) a C₂₋₆ alkenyl group, (c) a C₂₋₆ alkynyl group, (d) a C₃₋₁₂ saturated, unsaturated, or aromatic carbocycle, (e) a 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more nitrogen, oxygen or sulfur atoms, (f) —CF₃, (g) —NR⁶(CR⁶R⁶)_(t)R⁹, (h) —OR⁹, (i) —S(CR⁶R⁶)_(t)R⁹, (j) —S(O)(CR⁶R⁶)_(t)R⁹, (k) —S(O)₂(CR⁶R⁶)_(t)R⁹, (l) —C(O)(CR⁶R⁶)_(t)R⁹, (m) —OC(O)(CR⁶R⁶)_(t)R⁹, (n) —OC(O)O(CR⁶R⁶)_(t)R⁹, (o) —SC(O)(CR⁶R⁶)_(t)R⁹, (p) —C(O)O(CR⁶R⁶)_(t)R⁹, (q) —NR⁶C(O)(CR⁶R⁶)_(t)R⁹, (r) —C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (s) —C(═NR⁶)(CR⁶R⁶)_(t)R⁹, (t) —C(═NNR⁶R⁶)(CR⁶R⁶)_(t)R⁹, (u) —C[═NNR⁶C(O)R⁶](CR⁶R⁶)_(t)R⁹, (v) —NR⁶C(O)O(CR⁶R⁶)_(t)R⁹, (w) —OC(O)NR⁶(CR⁶R⁶)_(t)R⁹, (x) —NR⁶C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (y) —NR⁶S(O)_(p)(CR⁶R⁶)_(t)R⁹, (z) —S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (aa) —NR⁶R⁶, (bb) —NR⁶(CR⁶R⁶)_(t)R⁹, (cc) —SR⁶, (dd) —S(O)R⁶, (ee) —S(O)₂R⁶, and (ff) —NR⁶C(O)R⁶, wherein (a)-(e) optionally are substituted with one or more R¹⁴ groups.
 12. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein A is selected from: (a) a C₁₋₆ alkyl group, (b) a C₂₋₆ alkenyl group, (c) a C₂₋₆ alkynyl group, (d) a C₃₋₁₂ saturated, unsaturated, or aromatic carbocycle, (e) a 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more nitrogen, oxygen or sulfur atoms, wherein (a)-(e) optionally are substituted with one or more R¹⁴ groups.
 13. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein A is selected from (a) —NR⁶(CR⁶R⁶)_(t)R⁹, (b) —OR⁹, (c) —S(CR⁶R⁶)_(t)R⁹, (d) —S(O)(CR⁶R⁶)_(t)R⁹, (e) —S(O)₂(CR⁶R⁶)_(t)R⁹ (f) —C(O)(CR⁶R⁶)_(t)R⁹, (g) —OC(O)(CR⁶R⁶)_(t)R⁹, (h) —OC(O)O(CR⁶R⁶)_(t)R⁹, (i) —SC(O)(CR⁶R⁶)_(t)R⁹, (j) —C(O)O(CR⁶R⁶)_(t)R⁹, (k) —NR⁶C(O)CR⁶R⁶)_(t)R⁹, (l) —C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (m) —C(═NR⁶)(CR⁶R⁶)_(t)R⁹, (n) —C(═NNR⁶R⁶)(CR⁶R⁶)_(t)R⁹, (o) —C[═NNR⁶C(O)R⁶](CR⁶R⁶)_(t)R⁹, (p) —NR⁶C(O)O(CR⁶R⁶)_(t)R⁹, (q) —OC(O)NR⁶(CR⁶R⁶)_(t)R⁹, (r) NR⁶C(O)NR⁶(CR⁶R⁶)_(t)R⁹, (s) —NR⁶S(O)_(p)(CR⁶R⁶)_(t)R⁹, (t) —S(O)_(p)NR⁶(CR⁶R⁶)_(t)R⁹, (u) —NR⁶R⁶, (v) —NR⁶(CR⁶R⁶)_(t)R⁹, (w) —SR⁶, (x) —S(O)R⁶, (y) —S(O)₂R⁶, and (z) —NR⁶C(O)R⁶.
 14. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein T is

wherein: M is selected from: (a) —C(O)—, (b) —CH(—OR¹¹⁴)—, (c) —NR¹¹⁴—CH₂—, (d) —CH₂—NR¹¹⁴—, (e) —CH(NR¹¹⁴R¹¹⁴)—, (f) —C(═NNR¹¹⁴R¹¹⁴)—, (g) —NR¹¹⁴—C(O)—, (h) —C(O)NR¹¹⁴—, (i) —C(═NR¹¹⁴)—, (j) —CR¹¹⁵R¹¹⁵, and (k) —C(═NOR¹²⁷); R¹⁰⁰ is selected from (a) H, (b) F, (c) Cl, (d) Br, (e) —SR¹¹⁴, and (f) C₁₋₆ alkyl, wherein (f) optionally is substituted with one or more R¹¹⁵ groups; R¹⁰¹ is selected from: (a) H, (b) Cl, (c) F, (d) Br, (e) I, (f) —NR¹¹⁴R¹¹⁴, (g) —NR¹¹⁴C(O)R¹¹⁴, (h) —OR¹¹⁴, (i) —OC(O)R¹¹⁴, (j) —OC(O)OR¹¹⁴, (k) —OC(O)NR¹¹⁴R¹¹⁴, (l) —O—C₁₋₆ alkyl, (m) —OC(O)—C₁₋₆ alkyl, (n) —OC(O)O—C₁₋₆ alkyl, (o) —OC(O)NR¹¹⁴—C₁₋₆ alkyl, (p) C₁₋₆ alkyl, (q) C₁₋₆ alkenyl, and (r) C₁₋₆ alkynyl, wherein any of (l)-(r) optionally is substituted with one or more R¹¹⁵ groups; R¹⁰² is (a) H, (b) F, (c) Cl, (d) Br, (e) —SR¹¹⁴, (f) C₁₋₆ alkyl, wherein (f) optionally is substituted with one or more R¹¹⁵ groups; R¹⁰³ is selected from: (a) H, (b) —OR¹¹⁴, (c) —O—C₁₋₆ alkyl-R¹¹⁵, (d) —OC(O)R¹¹⁴, (e) —OC(O)—C₁₋₆ alkyl-R¹¹⁵, (f) —OC(O)OR¹¹⁴, (g) —OC(O)O—C₁₋₆ alkyl-R¹¹⁵, (h) —OC(O)NR¹¹⁴R¹¹⁴, (i) —OC(O)NR¹¹⁴—C₁₋₆ alkyl-R¹¹⁵, and

alternatively, R¹⁰² and R¹⁰³ taken together with the carbon to which they are attached form (a) a carbonyl group or (b) a 3-7 membered saturated, unsaturated or aromatic carbocyclic or heterocyclic ring which can optionally be substituted with one or more R¹¹⁴ groups; alternatively, R¹⁰¹ and R¹⁰³ taken together are a single bond between the respective carbons to which these two groups are attached thereby creating a double bond between the carbons to which R¹⁰⁰ and R¹⁰² are attached; alternatively, R¹⁰¹ and R¹⁰³ taken together with the carbons to which they are attached form a 3-membered saturated, unsaturated or aromatic carbocyclic or heterocyclic ring which can optionally be substituted with one or more R¹¹⁴ groups; R¹⁰⁴ is selected from: (a) H, (b) R¹¹⁴, (c) —C(O)R¹¹⁴, (d) —C(O)OR¹¹⁴, (e) —C(O)NR¹¹⁴R¹¹⁴, (f) —C₁₋₆ alkyl-K—R¹¹⁴, (g) —C₂₋₆ alkenyl-K—R¹¹⁴, and (h) —C₂₋₆ alkynyl-K—R¹¹⁴; K is selected from: —C(O)—, (b) —C(O)O—, (c) —C(O)NR¹¹⁴—, (d) —C(═NR¹¹⁴)—, (e) —C(═NR¹¹⁴)O—, (f) —C(═NR¹¹⁴)NR¹¹⁴—, (g) —OC(O)—, (h) —OC(O)O—, (i) —OC(O)NR¹¹⁴—, (j) —NR¹¹⁴C(O)—, (k) —NR¹¹⁴C(O)O—, (l) —NR¹¹⁴C(O)NR¹¹⁴—, (m) —NR¹¹⁴C(═NR¹¹⁴)NR¹¹⁴—, and (n) —S(O)_(p)—; alternatively, R¹⁰³ and R¹⁰⁴, taken together with the atoms to which they are bonded, form:

wherein R¹³⁵ and R¹³⁶ are selected from (a) hydrogen, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆ alkynyl, (d) C₃₋₁₄ saturated, unsaturated or aromatic carbocycle, (e) 3-14 membered saturated, unsaturated or aromatic heterocycle containing one or more oxygen, nitrogen, or sulfur atoms, (f) F, (g) Br, (h) I, (i) OH, and (j) —N₃, wherein (b) through (e) are optionally substituted with one or more R¹¹⁷; or alternatively, R¹³⁵ and R¹³⁶ are taken together to form ═O, ═S, and ═NR¹¹⁴, ═NOR¹¹⁴, ═NR¹¹⁴, and ═N—NR¹¹⁴R¹¹⁴, wherein V is selected from (a) —(C₁-C₄-alkyl)-, (b) —(C₄-alkenyl)-, (c) O, (d) S, and (e) NR¹¹⁴, wherein (a) and (b) are optionally further substituted with one or more R¹¹⁷; R¹⁰⁵ is selected from: (a) R¹¹⁴, (b) —OR¹¹⁴, (c) —NR¹¹⁴R¹¹⁴, (d) —O—C₁₋₆ alkyl-R¹¹⁵, (e) —C(O)—R¹¹⁴, (f) —C(O)—C₁₋₆ alkyl-R¹¹⁵, (g) —OC(O)—R¹¹⁴, (h) —OC(O)C₁₋₆ alkyl-R¹¹⁵, (i) —OC(O)O—R¹¹⁴, (j) —OC(O)O—C₁₋₆ alkyl-R¹¹⁵, (k) —OC(O)NR¹¹⁴R¹¹⁴, (l) —OC(O)NR¹¹⁴—C₁₋₆ alkyl-R¹¹⁵, (m) —C(O)—C₂₋₆ alkenyl-R¹¹⁵, and (n) —C(O)—C₂₋₆ alkynyl-R¹¹⁵; alternatively, R¹⁰⁴ and R¹⁰⁵, taken together with the atoms to which they are bonded, form

wherein Q is CH or N, and R¹²⁶ is —OR¹¹⁴, —NR¹¹⁴ or R¹¹⁴; alternatively, R¹⁰⁴ and R¹⁰⁵, taken together with the atoms to which they are bonded, form:

wherein i) R¹⁰¹ is as defined above; ii) alternatively, R¹⁰¹ and R¹⁰⁹ can be taken together with the carbon to which they are attached to form a carbonyl group; iii) alternatively, R¹⁰¹ and R¹⁰⁹ can be taken together to form the group —O(CR¹¹⁶R¹¹⁶)_(u)O—; alternatively, R¹⁰⁴ and R¹⁰⁵, taken together with the atoms to which they are bonded, form:

wherein in the preceding structure the dotted line indicates an optional double bond i) R¹³⁰ is OH or R¹¹⁴, ii) R¹³¹ is OH or R¹¹⁴, iii) alternatively, R¹³⁰ and R¹³¹ taken together with the carbons to which they are attached form a 3-7 membered saturated, unsaturated or aromatic carbocyclic or heterocyclic ring which can optionally be substituted with one or more R¹¹⁴ groups; alternatively, R¹³⁰ and the carbon to which it is attached or R¹³¹ and the carbon to which it is attached are each independently —C(═O)—; alternatively, R¹⁰⁵, R¹³² and M, taken together with the atoms to which they are attached, form:

R¹⁰⁶ is selected from: (a) —OR¹¹⁴, (b) —C₁₋₆ alkoxy-R¹¹⁵, (c) —C(O)R¹¹⁴, (d) —OC(O)R¹¹⁴, (e) —OC(O)OR¹¹⁴, (f) —OC(O)NR¹¹⁴R¹¹⁴, and (g) —NR¹¹⁴R¹¹⁴; alternatively, R¹⁰⁵ and R¹⁰⁶ taken together with the atoms to which they are attached form a 5-membered ring by attachment to each other through a chemical moiety selected from: (a) —OC(R¹¹⁵)₂O—, (b) —OC(O)O—, (c) —OC(O)NR¹¹⁴—, (d) —NR¹¹⁴C(O)O—, (e) —OC(O)NOR¹¹⁴—, (f) —NOR¹¹⁴—C(O)O—, (g) —OC(O)NNR¹¹⁴R¹¹⁴—, (h) —NNR¹¹⁴R¹¹⁴—C(O)O—, (i) —OC(O)C(R¹¹⁵)₂—, (j) —C(R¹¹⁵)₂C(O)O—, (k) —OC(S)O—, (l) —OC((S)NR¹¹⁴—, (m) —NR¹¹⁴C(S)O—, (n) —OC(S)NOR¹¹⁴—, (o) —NOR¹¹⁴—C(S)O—, (p) —OC(S)NNR¹¹⁴R¹¹⁴—, (q) —NNR¹¹⁴R¹¹⁴—C(S)O—, (r) —OC(S)C(R¹¹⁵)₂, and (s) —C(R¹¹⁵)₂C(S)O—; alternatively, R¹⁰⁵, R¹⁰⁶, and R¹³³ taken together with the atoms to which they are attached form:

alternatively, M, R¹⁰⁵, and R¹⁰⁶ taken together with the atoms to which they are attached form:

wherein in the preceding structure the dotted line indicates an optional double bond,

wherein J¹ and J² are selected from hydrogen, Cl, F, Br, I, OH, —C₁₋₆ alkyl, and —O(C₁₋₆ alkyl) or are taken together to form ═O, ═S and ═NR¹¹⁴, ═NOR¹¹⁴, ═NR¹¹⁴, and ═N—NR¹¹⁴R¹¹⁴; alternatively, M and R¹⁰⁴ taken together with the atoms to which they are attached form:

wherein U is selected from (a) —(C₄-alkyl)- and (b) —(C₄-alkenyl)-, wherein (a) and (b) are optionally further substituted with one or more R¹¹⁷; alternatively, M and R¹⁰⁵ are taken together with the atoms to which they are attached to form:

R¹⁰⁷ is selected from (a) H, (b) —C₁₋₄ alkyl, (c) —C₂₋₄ alkenyl, which can be further substituted with C₁₋₁₂ alkyl or one or more halogens, (d) —C₂₋₄ alkynyl, which can be further substituted with C₁₋₁₂ alkyl or one or more halogens, (e) aryl or heteroaryl, which can be further substituted with C₁₋₁₂ alkyl or one or more halogens, (f) —C(O)H, (g) —COOH, (h) —CN, (i) —COOR¹¹⁴, (j) —C(O)NR¹¹⁴R¹¹⁴, (k) —C(O)R¹¹⁴, and (l) —C(O)SR¹¹⁴, wherein (b) is further substituted with one or more substituents selected from (aa) —OR¹¹⁴, (bb) halogen, (cc) —SR¹¹⁴, (dd) C₁₋₁₂ alkyl, which can be further substituted with halogen, hydroxyl, C₁₋₆ alkoxy, or amino, (ee) —OR¹¹⁴, (ff) —SR¹¹⁴, (gg) —NR¹¹⁴R¹¹⁴, (hh) —CN, (ii) —NO₂, (jj) —NC(O)R¹¹⁴, (kk), —COOR¹¹⁴, (ll) —N₃, (mm) ═N—O—R¹¹⁴, (nn) ═NR¹¹⁴, (oo) ═N—NR¹¹⁴R¹¹⁴, (pp) ═N—NH—C(O)R¹¹⁴, and (qq) ═N—NH—C(O)NR¹¹⁴R¹¹⁴; alternatively R¹⁰⁶ and R¹⁰⁷ are taken together with the atom to which they are attached to form an epoxide, a carbonyl, an olefin, or a substituted olefin, or a C₃-C₇ carbocyclic, carbonate, or carbamate, wherein the nitrogen of said carbamate can be further substituted with a C₁-C₆ alkyl; R¹⁰⁸ is selected from: (a) C₁₋₆ alkyl, (b) C₂₋₆ alkenyl, and (c) C₂₋₆ alkynyl, wherein any of (a)-(c) optionally is substituted with one or more R¹¹⁴ groups; R¹¹² is selected from H, OH, and OR¹¹⁴; R¹¹⁴, at each occurrence, independently is selected from: (a) H, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆ alkynyl, (e) C₆₋₁₀ saturated, unsaturated, or aromatic carbocycle, (f) 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, (g) —C(O)—C₁₋₆ alkyl, (h) —C(O)—C₂₋₆ alkenyl, (i) —C(O)—C₂₋₆ alkynyl, (j) —C(O)—C₆₋₁₀ saturated, unsaturated, or aromatic carbocycle, (k) —C(O)-3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, (l) —C(O)O—C₁₋₆ alkyl, (m) —C(O)O—C₂₋₆ alkenyl, (n) —C(O)O—C₂₋₆ alkynyl, (o) —C(O)O—C₆₋₁₀ saturated, unsaturated, or aromatic carbocycle, (p) —C(O)O-3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, (q) —C(O)NR¹¹⁶R¹¹⁶, (r) —NR¹¹⁶CO—C2-6 alkyl, (s) —NR¹¹⁶CO—C₆₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (t) —NR¹¹⁶C(O)-3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (b)-(t) optionally is substituted with one or more R¹¹⁵ groups, wherein one or more non-terminal carbon moieties of any of (b)-(d) optionally is replaced with oxygen, S(O)_(p), or —NR¹¹⁶; alternatively, NR¹¹⁴R¹¹⁴ forms a 3-7 membered saturated, unsaturated or aromatic ring including the nitrogen atom to which the R¹¹⁴ groups are bonded and optionally one or more moieties selected from O, S(O)_(p), N, and NR¹¹⁸; R¹¹⁵ is selected from: (a) R¹¹⁷, (b) C₁₋₈ alkyl, (c) C₂₋₈ alkenyl, (d) C₂₋₈ alkynyl, (e) C₃₋₁₂ saturated, unsaturated, or aromatic carbocycle, and (f) 3-12 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (b)-(f) optionally is substituted with one or more R¹¹⁷ groups; R¹¹⁶, at each occurrence, independently is selected from: (a) H, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆ alkynyl, (e) C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (f) 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur; wherein one or more non-terminal carbon moieties of any of (b)-(d) optionally is replaced with oxygen, S(O)_(p), or —NR¹¹⁴, wherein any of (b)-(f) optionally is substituted with one or more moieties selected from: (aa) carbonyl, (bb) formyl, (cc) F, (dd) Cl, (ee) Br, (ff) I, (gg) CN, (hh) N₃, (ii) NO₂, (jj) OR¹¹⁸, (kk) —S(O)_(p)R¹¹⁸, (ll) —C(O)R¹¹⁸, (mm) —C(O)OR¹¹⁸, (nn) —OC(O)R¹¹⁸, (oo) —C(O)NR¹¹⁸R¹¹⁸, (pp) —OC(O)NR¹¹⁸R¹¹⁸, (qq) —C(═NR¹¹⁸)R¹¹⁸, (rr) —C(R¹¹⁸)(R¹¹⁸)OR¹¹⁸, (ss) —C(R¹¹⁸)₂OC(O)R¹¹⁸, (tt) —C(R¹¹⁸)(OR¹¹⁸)(CH₂)_(r)NR¹¹⁸R¹¹⁸, (uu) —NR¹¹⁸OR¹¹⁸, (vv) —NR¹¹⁸OR¹¹⁸, (ww) —NR¹¹⁸C(O)R¹¹⁸, (xx) —NR¹¹⁸C(O)OR¹¹⁸, (yy) —NR¹¹⁸C(O)NR¹¹⁸R¹¹⁸, (zz) —NR¹¹⁸S(O)_(r)R¹¹⁸, (ab) —C(OR¹¹⁸)(OR¹¹⁸)R¹¹⁸, (ac) —C(R¹¹⁸)₂NR¹¹⁸R¹¹⁸, (ad) ═NR¹¹⁸, (ae) —C(S)NR¹¹⁸R¹¹⁸, (af) —NR¹¹⁸C(S)R¹¹⁸, (ag) —OC(S)NR¹¹⁸R¹¹⁸, (ah) —NR¹¹⁸C(S)OR¹¹⁸, (ai) —NR¹¹⁸C(S)NR¹¹⁸R¹¹⁸, (aj) —SC(O)R¹¹⁸, (ak) C₁₋₈ alkyl, (al) C₂₋₈ alkenyl, (am) C₂₋₈ alkynyl, (an) a C₁₋₈ alkoxy, (ao) C₁₋₈ alkylthio, (ap) C₁₋₈ acyl, (aq) saturated, unsaturated, or aromatic C₃₋₁₀ carbocycle, and (ar) saturated, unsaturated, or aromatic 3-10 membered heterocycle containing one or more heteroatoms selected from -nitrogen, oxygen, and sulfur, alternatively, NR¹¹⁶R¹¹⁶ forms a 3-10 membered saturated, unsaturated or aromatic ring including the nitrogen atom to which the R¹¹⁶ groups are attached and optionally one or more moieties selected from O, S(O)_(p), N, and NR¹¹⁸; alternatively, CR¹¹⁶R¹¹⁶ forms a carbonyl group; R¹¹⁷, at each occurrence, is selected from: (a) H, (b) ═O, (c) F, (d) Cl, (e) Br, (f) I, (g) (CR¹¹⁶R¹¹⁶)_(r)CF₃, (h) (CR¹¹⁶R¹¹⁶)_(r)CN, (i) (CR¹¹⁶R¹¹⁶)_(r)NO₂, (j) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (k) (CR¹¹⁶R¹¹⁶)_(r)OR¹¹⁹, (l) (CR¹¹⁶R¹¹⁶)_(r)S(O)_(p)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (m) (CR¹¹⁶R¹¹⁶)_(r)C(O)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (n) (CR¹¹⁶R¹¹¹⁶)_(r)OC(O)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (o) (CR¹¹⁶R¹¹⁶)_(r)SC(O)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (p) (CR¹¹⁶R¹¹⁶)_(r)C(O)O(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (q) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (r) (CR¹¹⁶R¹¹⁶)_(r)C(O)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (s) (CR¹¹⁶R¹¹⁶)_(r)C(═NNR¹¹⁶R¹¹⁶)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (t) (CR¹¹⁶R¹¹⁶)_(r)C(═NNR¹¹⁶R¹¹⁶)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (u) (CR¹¹⁶R¹¹⁶)_(r)C(═NNR¹¹⁶C(O)R¹¹⁶)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (v) (CR¹¹⁶R¹¹⁶)_(r)C(═NOR¹¹⁹)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (w) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)O(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (x) (CR¹¹⁶R¹¹⁶)_(r)OC(O)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (y) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (z) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶S(O)_(p)(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (aa) (CR¹¹⁶R¹¹⁶)_(r)S(O)_(p)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (bb) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶S(O)_(p)NR¹¹⁶(CR¹¹⁶R¹¹⁶)_(t)R¹¹⁹, (cc) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶R¹¹⁶, (dd) C₁₋₆ alkyl, (ee) C₂₋₆ alkenyl, (ff) C₂₋₆ alkynyl, (gg) (CR¹¹⁶R¹¹⁶)_(r)—C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (hh) (CR¹¹⁶R¹¹⁶)_(r)-3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (dd)-(hh) optionally is substituted with one or more R¹¹⁹ groups; alternatively, two R¹¹⁷ groups can form —O(CH₂)_(u)O—; R¹¹⁸ is selected from: (a) H, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆ alkynyl, (e) C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, (f) 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from -nitrogen, oxygen, and sulfur, (g) —C(O)—C₁₋₆ alkyl, (h) —C(O)—C₁₋₆ alkenyl, (i) —C(O)—C₁₋₆ alkynyl, (j) —C(O)—C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (k) —C(O)-3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (b)-(k) optionally is substituted with one or more moieties selected from: (aa) H, (bb) F, (cc) Cl, (dd) Br, (ee) I, (ff) CN, (gg) NO₂, (hh) OH, (ii) NH₂, (jj) NH(C₁₋₆ alky(l), (kk) N(C₁₋₆ alky(l)₂, (ll) C₁₋₆ alkoxy, (mm) aryl, (nn) substituted aryl, (oo) heteroaryl, (pp) substituted heteroaryl, and (qq) C₁₋₆ alkyl, optionally substituted with one or more moieties selected from -aryl, substituted aryl, heteroaryl, substituted heteroaryl, F, Cl, Br, I, CN, NO₂, and OH; R¹¹⁹, at each occurrence, independently is selected from: (a) R¹²⁰, (b) C₁₋₆ alkyl, (c) C₂₋₆ alkenyl, (d) C₂₋₆ alkynyl, (e) C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (f) 3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from -nitrogen, oxygen, and sulfur, wherein any of (b)-(f) optionally is substituted with one or more R¹¹⁹ groups; R¹²⁰, at each occurrence, independently is selected from: (a) H, (b) ═O, (c) F, (d) Cl, (e) Br, (f) I, (g) (CR¹¹⁶R¹¹⁶)_(r)CF₃, (h) (CR¹¹⁶R¹¹⁶)_(r)CN, (i) (CR¹¹⁶R¹¹⁶)_(r)NO₂, (j) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶R¹¹⁶, (k) (CR¹¹⁶R¹¹⁶)_(r)OR¹¹⁴, (l) (CR¹¹⁶R¹¹⁶)_(r)S(O)_(p)R¹¹⁶, (m) (CR¹¹⁶R¹¹⁶)_(r)C(O)R¹¹⁶, (n) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)OR¹¹⁶, (o) (CR¹¹⁶R¹¹⁶)_(r)OC(O)R¹¹⁶, (p) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)R¹¹⁶, (q) (CR¹¹⁶R¹¹⁶)_(r)C(O)NR¹¹⁶R¹¹⁶, (r) (CR¹¹⁶R¹¹⁶)_(r)C(═NR¹¹⁶)R¹¹⁶, (s) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶C(O)NR¹¹⁶R¹¹⁶, (t) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶S(O)_(p)R¹¹⁶, (u) (CR¹¹⁶R¹¹⁶)_(r)S(O)_(p)NR¹¹⁶R¹¹⁶, (v) (CR¹¹⁶R¹¹⁶)_(r)NR¹¹⁶S(O)_(p)NR¹¹⁶R¹¹⁶, (w) C₁₋₆ alkyl, (x) C₂₋₆ alkenyl, (y) C₂₋₆ alkynyl, (z) (CR¹¹⁶R¹¹⁶)_(r)—C₃₋₁₀ saturated, unsaturated, or aromatic carbocycle, and (aa) (CR¹¹⁶R¹¹⁶)_(r)-3-10 membered saturated, unsaturated, or aromatic heterocycle containing one or more heteroatoms selected from nitrogen, oxygen, and sulfur, wherein any of (w)-(aa) optionally is substituted with one or more moieties selected from R¹¹⁶, F, Cl, Br, I, CN, NO₂, —OR¹¹⁶, —NH₂, —NH(C₁₋₆ alkyl), —N(C₁₋₆ alkyl)₂, C₁₋₆ alkoxy, C₁₋₆ alkylthio, and C₁₋₆ acyl; R¹²¹, at each occurrence, independently is selected from: (a) H, (b) OR¹¹⁸, (c) —O—C₁₋₆ alkyl-OC(O)R¹¹⁸, (d) —O—C₁₋₆ alkyl-OC(O)OR¹¹⁸, (e) —O—C₁₋₆ alkyl-OC(O)NR¹¹⁸R¹¹⁸, (f) —O—C₁₋₆ alkyl-C(O)NR¹¹⁸R¹¹⁸, (g) —O—C₁₋₆ alkyl-NR¹¹⁸C(O)R¹¹⁸, (h) —O—C₁₋₆ alkyl-NR¹¹⁸C(O)OR¹¹⁸, (i) —O—C₁₋₆ alkyl-NR¹¹⁸C(O)NR¹¹⁸R¹¹⁸, (j) —O—C₁₋₆ alkyl-NR¹¹⁸C(═N(H)NR¹¹⁸R¹¹⁸, (k) —O—C₁₋₆ alkyl-S(O)_(p)R¹¹⁸, (l) —O—C₂₋₆ alkenyl-OC(O)R¹¹⁸, (m) —O—C₂₋₆ alkenyl-OC(O)OR¹¹⁸, (n) —O—C₂₋₆ alkenyl-OC(O)NR¹¹⁸R¹¹⁸, (o) —O—C₂₋₆ alkenyl-C(O)NR¹¹⁸R¹¹⁸, (p) —O—C₂₋₆ alkenyl-NR¹¹⁸C(O)R¹¹⁸, (q) —O—C₂₋₆ alkenyl-NR¹¹⁸C(O)OR¹¹⁸, (r) —O—C₂₋₆ alkenyl-NR¹¹⁸C(O)NR¹¹⁸R¹¹⁸, (s) —O—C₂₋₆ alkenyl-NR¹¹⁸C(═N(H)NR¹¹⁸R¹¹⁸ (t) —O—C₂₋₆ alkenyl-S(O)_(p)R¹¹⁸, (u) —O—C₂₋₆ alkynyl-OC(O)R¹¹⁸, (v) —O—C₂₋₆ alkynyl-OC(O)OR¹¹⁸, (w) —O—C₂₋₆ alkynyl-OC(O)NR¹¹⁸R¹¹⁸, (x) —O—C₂₋₆ alkynyl-C(O)NR¹¹⁸R¹¹⁸, (y) —O—C₂₋₆ alkynyl-NR¹¹⁸C(O)R¹¹⁸, (z) —O—C₂₋₆ alkynyl-NR¹¹⁸C(O)OR¹¹⁸, (aa) —O—C₂₋₆ alkynyl-NR¹¹⁸C(O)NR¹¹⁸R¹¹⁸, (bb) —O—C₂₋₆ alkynyl-NR¹¹⁸C(═N(H)NR¹¹⁸R¹¹⁸, (cc) —O—C₂₋₆ alkynyl-S(O)_(p)R¹¹⁸; and (dd) —NR¹¹⁸R¹¹⁸; alternatively, two R¹²¹ groups taken together form ═O, ═NOR¹¹⁸, or ═NNR¹¹⁸R¹¹⁸; R¹²⁶ at each occurrence, independently is selected from: (a) hydrogen, (b) an electron-withdrawing group, (c) aryl, (d) substituted aryl, (e) heteroaryl, (f) substituted heteroaryl, and (g) C₁₋₆ alkyl, optionally substituted with one or more R¹¹⁵ groups; R¹⁰⁹ is H or F; R¹²⁷ is R¹¹⁴, a monosaccharide or disaccharide (including amino sugars and halo sugar(s)), (CH₂)_(n)—(O—CH₂CH₂—)_(m)—O(CH₂)_(p)CH₃, or —(CH₂)_(n)—(O—CH₂CH₂—)_(m)—OH; R¹²⁸ is R¹¹⁴; R¹²⁹ is R¹¹⁴; R¹¹⁰ is R¹¹⁴; alternatively, R¹⁰⁹ and R¹¹⁰ taken together with the carbons to which they are attached form:

alternatively, R¹²⁸ and R¹²⁹ together with the carbons to which they are attached form a 3-6 membered saturated, unsaturated or aromatic carbocyclic or heterocyclic ring which can optionally be substituted with one or more R¹¹⁴ groups; R¹³², R¹³³, and R¹³⁴ are each independently selected from: (a) H, (b) F, (c) Cl, (d) Br, (e) —OR¹¹⁴, (f) —SR¹¹⁴, (g) —NR¹¹⁴R¹¹⁴, and (h) C₁₋₆ alkyl, wherein (h) optionally is substituted with one or more R¹¹⁵ groups; alternatively, R¹³² and R¹³³ are taken together to form a carbon-carbon double bond; alternatively, R¹³³ and R¹³⁴ are taken together to form ═O, ═S, ═NOR¹¹⁴, ═NR¹¹⁴, and ═N—NR¹¹⁴, R¹¹⁴; alternatively, R¹⁰⁵ and R¹³⁴ are taken together with the carbons to which they are attached to form a 3-membered ring, said ring optionally containing an oxygen or nitrogen atom, and said ring being optionally substituted with one or more R¹¹⁴ groups; alternatively when M is a carbon moiety, R¹³⁴ and M are taken together to form a carbon-carbon double bond; k, at each occurrence is 0, 1, or 2; m, at each occurrence is 0, 1, 2, 3, 4, or 5; n, at each occurrence is 1, 2, or 3; p at each occurrence is 0, 1, or 2; r at each occurrence is 0, 1, or 2; t at each occurrence is 0, 1, or 2; and u at each occurrence is 1, 2, 3, or
 4. 15. The compound according to claim 14, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein T is selected from:


16. The compound according to claim 14, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein T is selected from:


17. The compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, wherein T is selected from T1 through T33:


18. A compound having the structure corresponding to any of the structures listed in Table 1, Table 1A, Table 1C or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof.
 19. A pharmaceutical composition comprising a compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof, and a pharmaceutically acceptable carrier.
 20. A method for treating or preventing a disease state in a mammal comprising administering to a mammal in need thereof an effective amount of a compound according to claim 1, or a pharmaceutically acceptable salt, ester, N-oxide, or prodrug thereof. 